Provider Demographics
NPI:1962550194
Name:MAGAURAN, JOHN RADY (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:RADY
Last Name:MAGAURAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1314 S KING ST STE 1653
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-1950
Mailing Address - Country:US
Mailing Address - Phone:808-591-9339
Mailing Address - Fax:808-591-9343
Practice Address - Street 1:1314 S KING ST STE 1655
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-1950
Practice Address - Country:US
Practice Address - Phone:808-924-7246
Practice Address - Fax:808-591-9343
Is Sole Proprietor?:No
Enumeration Date:2007-01-05
Last Update Date:2019-01-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
HI8932207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI0000BFCDVMedicare ID - Type Unspecified
HIF96884Medicare UPIN