Provider Demographics
NPI:1225230642
Name:PANGILINAN, RONALD FELIPE (MD)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:FELIPE
Last Name:PANGILINAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:545 QUEEN ST
Mailing Address - Street 2:APT 322
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-5048
Mailing Address - Country:US
Mailing Address - Phone:671-483-1753
Mailing Address - Fax:
Practice Address - Street 1:545 QUEEN ST
Practice Address - Street 2:APT 322
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-5048
Practice Address - Country:US
Practice Address - Phone:671-483-1753
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-05
Last Update Date:2010-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD - 15202207R00000X
GUM - 1654207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine