Provider Demographics
NPI:1417453481
Name:BIADOR, EUFREM D
Entity Type:Individual
Prefix:
First Name:EUFREM
Middle Name:D
Last Name:BIADOR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91-1032 HOOHILU ST
Mailing Address - Street 2:
Mailing Address - City:EWA BEACH
Mailing Address - State:HI
Mailing Address - Zip Code:96706-4909
Mailing Address - Country:US
Mailing Address - Phone:808-255-1236
Mailing Address - Fax:
Practice Address - Street 1:91-1032 HOOHILU ST
Practice Address - Street 2:
Practice Address - City:EWA BEACH
Practice Address - State:HI
Practice Address - Zip Code:96706-4909
Practice Address - Country:US
Practice Address - Phone:808-255-1236
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-30
Last Update Date:2018-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle