NPI 1609863299 · live from the CMS NPI Registry
Roger D Fellows, MD
Radiology, Diagnostic Radiology in Kamuela, HI. National Provider Identifier 1609863299, active.
NPI record
| NPI | 1609863299 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 67-1125 Mamalahoa Hwy, Kamuela, HI 96743 |
| Practice phone | 808-881-4881 |
| Mailing address | 68-1375 S Pauoa Rd Apt Q1, Kamuela, HI 96743 |
| Enumerated | September 29, 2005 |
| Last updated | March 22, 2009 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology primary | 2085R0202X | 149047-1205 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.