Provider Demographics
NPI:1447006838
Name:GEORGE F. NARDIN, MD
Entity type:Organization
Organization Name:GEORGE F. NARDIN, MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:NARDIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-223-1881
Mailing Address - Street 1:407 ULUNIU ST STE 214
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-2537
Mailing Address - Country:US
Mailing Address - Phone:808-262-2990
Mailing Address - Fax:808-262-3221
Practice Address - Street 1:407 ULUNIU ST STE 214
Practice Address - Street 2:
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-2537
Practice Address - Country:US
Practice Address - Phone:808-262-2990
Practice Address - Fax:808-262-3221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-25
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207WX0009XAllopathic & Osteopathic PhysiciansOphthalmologyGlaucoma SpecialistGroup - Single Specialty