Provider Demographics
NPI:1972691509
Name:WADA, RANDAL K (MD)
Entity type:Individual
Prefix:DR
First Name:RANDAL
Middle Name:K
Last Name:WADA
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Gender:M
Credentials:MD
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Mailing Address - Street 1:677 ALA MOANA BLVD
Mailing Address - Street 2:SUITE 602
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-5419
Mailing Address - Country:US
Mailing Address - Phone:808-956-9829
Mailing Address - Fax:808-537-9294
Practice Address - Street 1:1319 PUNAHOU ST
Practice Address - Street 2:PEDIATRIC AMBULATORY UNIT
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96826-1001
Practice Address - Country:US
Practice Address - Phone:808-983-8551
Practice Address - Fax:808-983-8005
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2014-01-20
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Provider Licenses
StateLicense IDTaxonomies
HIMD-96662080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology