Basic Information
| Provider Information | |||||||||
| NPI: | 1306258272 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SHCHEDRINA | ||||||||
| FirstName: | SVETLANA | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 366 KAHIKINI ST | ||||||||
| Address2: | |||||||||
| City: | HILO | ||||||||
| State: | HI | ||||||||
| PostalCode: | 967206024 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4022032060 | ||||||||
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| Practice Location | |||||||||
| Address1: | 45 MOHOULI ST STE 201 | ||||||||
| Address2: | |||||||||
| City: | HILO | ||||||||
| State: | HI | ||||||||
| PostalCode: | 967207210 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8089323186 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/28/2014 | ||||||||
| LastUpdateDate: | 05/28/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | MDR6670 | HI | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.