NPI 1639529910 · live from the CMS NPI Registry
Ryan Anthony Fisicaro, M.D.
Radiology, Diagnostic Radiology in Honolulu, HI. National Provider Identifier 1639529910, active.
NPI record
| NPI | 1639529910 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 1301 Punchbowl St, Honolulu, HI 96813 |
| Practice phone | 808-691-1000 |
| Mailing address | 5501 Old York Rd, Albert Einstein Medical Center, Philadelphia, PA 19141 |
| Enumerated | June 16, 2016 |
| Last updated | June 17, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | MT211183 (PA) |
| Radiology, Diagnostic Radiology primary | 2085R0202X | MD24354 (HI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.