Provider Demographics
NPI:1710069885
Name:POLLARD, THOMAS WELDON (DO)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:WELDON
Last Name:POLLARD
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:98-1079 MOANALUA RD
Mailing Address - Street 2:SUITE 570
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701-4713
Mailing Address - Country:US
Mailing Address - Phone:808-486-0600
Mailing Address - Fax:808-486-0633
Practice Address - Street 1:98-1079 MOANALUA RD
Practice Address - Street 2:SUITE 570
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-4713
Practice Address - Country:US
Practice Address - Phone:808-486-0600
Practice Address - Fax:808-486-0633
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2013-12-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
HIDOS0671207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI500745Medicaid
HI00D0229114OtherBCBS
HI0229110OtherBCBS
HI500745Medicaid
H37012Medicare UPIN