Mary Lynn Ricardo-Dukelow

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

13253 Issued in HI

Legal business name

MARY LYNN RICARDO-DUKELOW

Practice address

2230 Liliha St
Honolulu, HI 96817-1646

Phone

(808) 772-2217

NPI assigned

Mar 1, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mary Lynn Ricardo-Dukelow, M.D.

Title

Owner

Phone

(808) 772-2217

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1083742878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25370",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968250370",
            "telephone_number": "808-536-0314",
            "fax_number": "808-536-0320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 LILIHA ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968171646",
            "telephone_number": "808-772-2217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY LYNN RICARDO-DUKELOW",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "RICARDO-DUKELOW",
        "authorized_official_first_name": "MARY LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-772-2217",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "HI",
            "license": "13253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Infectious Disease Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Infectious Disease Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.