Marina a. Badua, M.D., Inc.

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

MD3187 Issued in HI

Legal business name

MARINA A. BADUA, M.D., INC.

Practice address

1712 Liliha St
202
Honolulu, HI 96817-5410

Phone

(808) 536-1754

Fax

(808) 536-0315

NPI assigned

Apr 25, 2007

Organization subpart

No

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

Authorized official

Name

Marina Aguiran Badua, M.D.

Title

Chairman of the Board

Phone

(808) 536-1754

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266451200000",
    "number": "1609095595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 LILIHA ST",
            "address_2": "202",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968175410",
            "telephone_number": "808-536-1754",
            "fax_number": "808-536-0315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 LILIHA ST",
            "address_2": "202",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968175410",
            "telephone_number": "808-536-1754",
            "fax_number": "808-536-0315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARINA A. BADUA, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2010-02-18",
        "status": "A",
        "authorized_official_last_name": "BADUA",
        "authorized_official_first_name": "MARINA",
        "authorized_official_middle_name": "AGUIRAN",
        "authorized_official_title_or_position": "CHAIRMAN OF THE BOARD",
        "authorized_official_telephone_number": "808-536-1754",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "HI",
            "license": "MD3187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "00Y0042021",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03829002",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Point of Service in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Point of Service in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2010; 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.