Boranian, Dickran O.

Boranian, Dickran O. is an individual health care provider with primary practice located at 75 170 Hualalai Rd Suite C110, Kailua Kona HI 96740-1780. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Boranian, Dickran O. can be contacted via phone (808) 329-9211.

Contact Information

Primary practice address
75 170 Hualalai Rd Suite C110 Kailua Kona HI 96740-1780
Phone: (808) 329-9211
Fax: (808) 329-0009
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD 6802 Hawaii

Profile Details

NPI number 1285631952
LBN Legal business name Boranian, Dickran O.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285631952 NPPES
Hawaii MEDICAID 05965201

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