Provider Demographics
NPI:1427283605
Name:WILLIAMS, THOMAS RICHARDSON III (MD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:RICHARDSON
Last Name:WILLIAMS
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:1329 LUSITANA ST
Mailing Address - Street 2:SUITE B7
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-2429
Mailing Address - Country:US
Mailing Address - Phone:808-748-4700
Mailing Address - Fax:
Practice Address - Street 1:1329 LUSITANA ST
Practice Address - Street 2:SUITE B7
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-2429
Practice Address - Country:US
Practice Address - Phone:808-748-4700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-18
Last Update Date:2016-09-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
HIMD-180962085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology