Provider Demographics
NPI:1154780013
Name:VALERIE A CACHO MD INC
Entity type:Organization
Organization Name:VALERIE A CACHO MD INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:CACHO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-500-7077
Mailing Address - Street 1:91-3575 KAULUAKOKO UNIT 1601
Mailing Address - Street 2:
Mailing Address - City:EWA BEACH
Mailing Address - State:HI
Mailing Address - Zip Code:96706-5862
Mailing Address - Country:US
Mailing Address - Phone:808-500-7077
Mailing Address - Fax:808-460-3540
Practice Address - Street 1:91-3575 KAULUAKOKO UNIT 1601
Practice Address - Street 2:
Practice Address - City:EWA BEACH
Practice Address - State:HI
Practice Address - Zip Code:96706-5862
Practice Address - Country:US
Practice Address - Phone:808-500-7077
Practice Address - Fax:808-460-3840
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-19
Last Update Date:2020-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI18001207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Single Specialty