Intaraprasong, Decha

Intaraprasong, Decha is an individual health care provider with primary practice located at 3288 Moanalua Rd , Honolulu HI 96819-1469. He recently has only one registered license in Allopathic & Osteopathic Physicians / Body Imaging, which is considered as his primary health care specialty. Intaraprasong, Decha can be contacted via phone (808) 432-0000.

Contact Information

Primary practice address
3288 Moanalua Rd Honolulu HI 96819-1469
Phone: (808) 432-0000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X MD-2574 Hawaii

Profile Details

NPI number 1871693572
LBN Legal business name Intaraprasong, Decha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Oct 12th, 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 1871693572 NPPES
Hawaii Other 0000018846 HMSA BILLING NUMBER
Hawaii MEDICAID 017555-01 HMSA BILLING NUMBER

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