Provider Demographics
NPI:1750901195
Name:RYAN M SMITH, DO INC
Entity type:Organization
Organization Name:RYAN M SMITH, DO INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BUSINESS CONSULTANT
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:MERKEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-781-9620
Mailing Address - Street 1:46-001 KAMEHAMEHA HWY STE 212
Mailing Address - Street 2:
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-3728
Mailing Address - Country:US
Mailing Address - Phone:808-636-6393
Mailing Address - Fax:866-573-0778
Practice Address - Street 1:46-001 KAMEHAMEHA HWY STE 212
Practice Address - Street 2:
Practice Address - City:KANEOHE
Practice Address - State:HI
Practice Address - Zip Code:96744-3728
Practice Address - Country:US
Practice Address - Phone:808-636-6393
Practice Address - Fax:866-573-0778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-24
Last Update Date:2021-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty