Provider Demographics
NPI:1336299908
Name:HEMATOLOGY ONCOLOGY ASSOCIATES INC
Entity Type:Organization
Organization Name:HEMATOLOGY ONCOLOGY ASSOCIATES INC
Other - Org Name:SAME
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NIRANJAN
Authorized Official - Middle Name:
Authorized Official - Last Name:RAJDEV
Authorized Official - Suffix:
Authorized Official - Credentials:MD, FACP
Authorized Official - Phone:808-585-2900
Mailing Address - Street 1:550 S BERETANIA ST STE 202
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-2496
Mailing Address - Country:US
Mailing Address - Phone:808-585-2900
Mailing Address - Fax:808-585-2994
Practice Address - Street 1:550 S BERETANIA ST STE 202
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-2496
Practice Address - Country:US
Practice Address - Phone:808-585-2900
Practice Address - Fax:808-585-2994
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI2612207RH0003X, 261QX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty
Not Answered261QX0200XAmbulatory Health Care FacilitiesClinic/CenterOncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI0382461OtherACS CONSULTEC
HI03824610Medicaid
HIMD2612-05OtherMDX HI
HIG004198-3OtherHMSA
HI038246-02OtherALOHACARE
HI03824610Medicaid
HIG004198-3OtherHMSA