Provider Demographics
NPI:1134486814
Name:GETTAFIX LLC
Entity Type:Organization
Organization Name:GETTAFIX LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:PUGERA
Authorized Official - Middle Name:VINOO
Authorized Official - Last Name:GANAPATHY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-387-8466
Mailing Address - Street 1:590 PUUIKENA DR
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96821-2507
Mailing Address - Country:US
Mailing Address - Phone:808-387-8466
Mailing Address - Fax:808-373-3987
Practice Address - Street 1:94-673 KUPUOHI ST
Practice Address - Street 2:SUITE# C201
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-5367
Practice Address - Country:US
Practice Address - Phone:808-387-8466
Practice Address - Fax:808-373-3987
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-18
Last Update Date:2012-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent CareGroup - Single Specialty