Basic Information
| Provider Information | |||||||||
| NPI: | 1215228564 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | RAIDOO | ||||||||
| FirstName: | SHANDHINI | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1319 PUNAHOU ST STE 824 | ||||||||
| Address2: | |||||||||
| City: | HONOLULU | ||||||||
| State: | HI | ||||||||
| PostalCode: | 968261032 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6059294605 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1319 PUNAHOU ST STE 824 | ||||||||
| Address2: | |||||||||
| City: | HONOLULU | ||||||||
| State: | HI | ||||||||
| PostalCode: | 968261032 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8082036500 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/20/2011 | ||||||||
| LastUpdateDate: | 12/04/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | MD18000 | HI | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
No ID Information.