Provider Demographics
NPI:1912087073
Name:HOLCOMBE, RANDALL F (MD)
Entity Type:Individual
Prefix:DR
First Name:RANDALL
Middle Name:F
Last Name:HOLCOMBE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:701 ILALO ST STE 600
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-5516
Mailing Address - Country:US
Mailing Address - Phone:808-586-3013
Mailing Address - Fax:808-586-5857
Practice Address - Street 1:701 ILALO ST STE 600
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-5516
Practice Address - Country:US
Practice Address - Phone:808-586-3013
Practice Address - Fax:808-586-5857
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT042-0015388207RX0202X, 207RH0000X
HI19078207RX0202X
NY258194207RX0202X, 207RH0000X
CA000000G84009207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0000XAllopathic & Osteopathic PhysiciansInternal MedicineHematology
No207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
No207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWG84009BMedicare PIN