Provider Demographics
NPI:1912756164
Name:ONDUO PROFESSIONALS OF HAWAII, P.C.
Entity type:Organization
Organization Name:ONDUO PROFESSIONALS OF HAWAII, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:M
Authorized Official - Last Name:ERANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:833-446-6386
Mailing Address - Street 1:10 LANGLEY RD STE 400
Mailing Address - Street 2:
Mailing Address - City:NEWTON CENTER
Mailing Address - State:MA
Mailing Address - Zip Code:02459-1972
Mailing Address - Country:US
Mailing Address - Phone:833-446-6386
Mailing Address - Fax:
Practice Address - Street 1:10 LANGLEY RD STE 400
Practice Address - Street 2:
Practice Address - City:NEWTON CENTER
Practice Address - State:MA
Practice Address - Zip Code:02459-1972
Practice Address - Country:US
Practice Address - Phone:833-446-6386
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-17
Last Update Date:2024-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center