Provider Demographics
NPI:1477042026
Name:SONIDO, CHARLES D (DO)
Entity Type:Individual
Prefix:
First Name:CHARLES
Middle Name:D
Last Name:SONIDO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:94-837 WAIPAHU ST
Mailing Address - Street 2:
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-3320
Mailing Address - Country:US
Mailing Address - Phone:808-671-3911
Mailing Address - Fax:808-677-2720
Practice Address - Street 1:70 OLONA ST
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-5017
Practice Address - Country:US
Practice Address - Phone:808-731-4949
Practice Address - Fax:808-731-4950
Is Sole Proprietor?:No
Enumeration Date:2018-05-08
Last Update Date:2021-10-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
HIDOSR435207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine