Provider Demographics
NPI:1952391195
Name:PERRY, RONALD GENE (MD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:GENE
Last Name:PERRY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 11718
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96828-0718
Mailing Address - Country:US
Mailing Address - Phone:808-946-4541
Mailing Address - Fax:808-946-8088
Practice Address - Street 1:1314 S KING ST
Practice Address - Street 2:SUITE 1151
Practice Address - City:HONOLULLU
Practice Address - State:HI
Practice Address - Zip Code:96814-1942
Practice Address - Country:US
Practice Address - Phone:808-946-4541
Practice Address - Fax:808-946-8088
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-27
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
HIMD1962207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI03452801Medicaid
HI03452801Medicaid
HID36409Medicare UPIN