Grandon, Paul W.

Grandon, Paul W. is an individual health care provider with primary practice located at 55 Maui Lani Pkwy , Wailuku HI 96793-2416. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Grandon, Paul W. can be contacted via phone (808) 243-6050.

Contact Information

Primary practice address
55 Maui Lani Pkwy Wailuku HI 96793-2416
Phone: (808) 243-6050
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD-21227 Hawaii
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 017275 Louisiana

Profile Details

NPI number 1215908959
LBN Legal business name Grandon, Paul W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2006
Last updated Jul 25th, 2022 - about 2 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 1215908959 NPPES
Louisiana Other 017275 LICENSE
Louisiana MEDICAID 1364738 LICENSE

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