1801981212 NPI number — JUTTA MADJAR GALANTO MD LLC

Table of content: (NPI 1801981212)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1801981212 NPI number — JUTTA MADJAR GALANTO MD LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
JUTTA MADJAR GALANTO MD LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
WAIKIKI FAMILY PRACTICE
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1801981212
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2424 KALAKAUA AVE
Provider Second Line Business Mailing Address:
SUITE 476A
Provider Business Mailing Address City Name:
HONOLULU
Provider Business Mailing Address State Name:
HI
Provider Business Mailing Address Postal Code:
96815-3233
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
808-922-6000
Provider Business Mailing Address Fax Number:
808-922-2680

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2424 KALAKAUA AVE SUITE 476A
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96815-3233
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-922-6000
Provider Business Practice Location Address Fax Number:
808-922-2680
Provider Enumeration Date:
10/03/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
MADJAR-GALANTO
Authorized Official First Name:
JUTTA
Authorized Official Middle Name:
Authorized Official Title or Position:
MD
Authorized Official Telephone Number:
808-922-6000

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  MD 9977 , registered in the state of HI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: DC2078 . This is a "MEDICARE RAILROAD" identifier , issued by the state of ( HI ) . This identifiers is of the category "OTHER".
  • Identifier: MD9977-01 . This is a "MDX HAWAII" identifier , issued by the state of ( HI ) . This identifiers is of the category "OTHER".