Provider Demographics
NPI:1992201685
Name:CARDIOVASCULAR INTERVENTIONS OF THE PACIFIC, LLC
Entity type:Organization
Organization Name:CARDIOVASCULAR INTERVENTIONS OF THE PACIFIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:RAMY
Authorized Official - Middle Name:
Authorized Official - Last Name:BADAWI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-793-7747
Mailing Address - Street 1:4309 PAPU CIR
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-4840
Mailing Address - Country:US
Mailing Address - Phone:808-793-7747
Mailing Address - Fax:
Practice Address - Street 1:321 N KUAKINI ST STE 504
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-2361
Practice Address - Country:US
Practice Address - Phone:808-538-1125
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-02
Last Update Date:2018-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIT028-808-0896OtherSTATE OF HAWAII