NPI 1326087487 · live from the CMS NPI Registry
John L Wade, MD
Radiology, Diagnostic Radiology in Hilo, HI. National Provider Identifier 1326087487, active.
NPI record
| NPI | 1326087487 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 688 Kinoole St Ste 103, Hilo, HI 96720 |
| Practice phone | 808-969-8010 |
| Mailing address | 100 Hospital Dr, Bennington, VT 05201 |
| Enumerated | June 5, 2006 |
| Last updated | October 18, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology | 2085R0202X | ME78473 (FL) |
| Radiology, Diagnostic Radiology | 2085R0202X | FF0532689 (VT) |
| Radiology, Diagnostic Radiology primary | 2085R0202X | MD20349 (HI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.