Provider Demographics
NPI:1437588258
Name:JANICE K. HARADA, M.D., INC.
Entity Type:Organization
Organization Name:JANICE K. HARADA, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:
Authorized Official - Last Name:HARADA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-949-6451
Mailing Address - Street 1:2065 S KING ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96826-2244
Mailing Address - Country:US
Mailing Address - Phone:808-949-6451
Mailing Address - Fax:808-949-6452
Practice Address - Street 1:2065 S KING ST
Practice Address - Street 2:SUITE 202
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96826-2244
Practice Address - Country:US
Practice Address - Phone:808-949-6451
Practice Address - Fax:808-949-6452
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-02
Last Update Date:2013-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD9517207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIG29197Medicare UPIN