Individual provider · Type 1 NPI

Russell G. Tacata, MD

General Practice Physician · Honolulu, HI

NPI number 1356341002 Active

Practice location

1619 Liliha Street, #3
Honolulu, HI 96817-3152

Call (808) 531-5454 Map

Fax (808) 531-5451

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000X9570 (HI)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1356341002

Russell G. Tacata, MD's National Provider Identifier is 1356341002, issued on Jul 22, 2005. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Honolulu, HI. The record was last updated on Aug 3, 2023.