Sheareen Gedayloo MD LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

13705 Issued in HI

Legal business name

SHEAREEN GEDAYLOO MD LLC

Practice address

1028 Kinoole St Ste 101
Hilo, HI 96720-3800

Phone

(808) 935-1193

Fax

(808) 969-1224

NPI assigned

Jun 27, 2016

Organization subpart

No

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

Authorized official

Name

Sheareen Gedayloo, MD

Title

Onwer/MD

Phone

(808) 935-1193

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514419200000",
    "number": "1962853317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1157",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967211157",
            "telephone_number": "808-935-1193",
            "fax_number": "808-969-1224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 KINOOLE ST STE 101",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967203800",
            "telephone_number": "808-935-1193",
            "fax_number": "808-969-1224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEAREEN GEDAYLOO MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-27",
        "last_updated": "2017-12-28",
        "status": "A",
        "authorized_official_last_name": "GEDAYLOO",
        "authorized_official_first_name": "SHEAREEN",
        "authorized_official_title_or_position": "ONWER/MD",
        "authorized_official_telephone_number": "808-935-1193",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "HI",
            "license": "13705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David A Shapiro
• Robert Seth Shapiro, MD
• Katie Akiko Shaw, D.P.T.
• Svetlana Shchedrina, MD
• Kelsey Elizabeth Shea, DO
• Catherine Rachel Sheehan, N.D.
• William Ryan Shelton, NMD
• David M Sheridan, LMHC
• Stritama D Sherreitt, MA - MFT
• Keiko Gibo Shewmaker, LAC

• All providers in Hilo, HI
• Primary Care Clinic/Center in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2017; 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.