MEDICARE: DR. JONATHAN DAVID PALADINO M.D, PH.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	MD-15278	HI
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	MT189824	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710089354
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JONATHAN DAVID PALADINO M.D, PH.D

Provider Business Mailing Address
First Line	:	92-118 WAIKO PL
Second Line	:	SUITE 700
City	:	KAPOLEI
State	:	HI
Zip	:	96707-3307
Country	:	US
Telephone Number	:	412-999-8828
Fax Number	:

Provider Business Practice Location Address
First Line	:	1356 LUSITANA ST
Second Line	:	SUITE 700
City	:	HONOLULU
State	:	HI
Zip	:	96813-2409
Country	:	US
Telephone Number	:	808-577-0734
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/03/2006
Last Update Date	:	11/15/2016

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Directions to “ DR. JONATHAN DAVID PALADINO M.D, PH.D” Practice Location

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