Provider Demographics
NPI:1093915068
Name:PEDRO, PATRICK PAUL (MD)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:PAUL
Last Name:PEDRO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:550 S BERETANIA ST
Mailing Address - Street 2:SUITE #501
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-2414
Mailing Address - Country:US
Mailing Address - Phone:808-528-4144
Mailing Address - Fax:808-525-6868
Practice Address - Street 1:550 S BERETANIA ST
Practice Address - Street 2:SUITE #501
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-2414
Practice Address - Country:US
Practice Address - Phone:808-528-4144
Practice Address - Fax:808-525-6868
Is Sole Proprietor?:No
Enumeration Date:2007-07-19
Last Update Date:2008-09-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
HIMD14857208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery