Provider Demographics
NPI:1427041672
Name:GALINDO, BENEDICTO R (MD)
Entity Type:Individual
Prefix:
First Name:BENEDICTO
Middle Name:R
Last Name:GALINDO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:BENEDICTO
Other - Middle Name:RAMOS
Other - Last Name:GALINDO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:94-366 PUPUPANI ST. #118
Mailing Address - Street 2:
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797
Mailing Address - Country:US
Mailing Address - Phone:808-676-0865
Mailing Address - Fax:808-676-1970
Practice Address - Street 1:94-366 PUPUPANI ST. #118
Practice Address - Street 2:
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797
Practice Address - Country:US
Practice Address - Phone:808-676-0865
Practice Address - Fax:808-676-1970
Is Sole Proprietor?:No
Enumeration Date:2005-08-23
Last Update Date:2013-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-6605208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI04248101Medicaid
H51114Medicare ID - Type Unspecified
HI04248101Medicaid