DR. RAJAT R FOFARIA (NPI# 1780674721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780674721 |
| Entity Type | Individual |
| Full Name | DR. RAJAT R FOFARIA |
| Credential | M.D. |
| Practice Address |
1 Jarrett White Rd Tripler Army Medical Center; Mche-qd/crendentials Tripler Amc HI 96859-5001 |
| Mailing Address |
1288 Kapiolani Blvd Apt 4505 Honolulu HI 96814-2888 |
| Practice Telephone | 8084336675 |
| Mailing Telephone | 2103653627 |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2012-06-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD-14539 | HI | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
2012-00554 | NC | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
0101234534 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
1 JARRETT WHITE RD TRIPLER ARMY MEDICAL CENTER; MCHE-QD/CRENDENTIALS |
| City | TRIPLER AMC |
| State | HI |
| Zip Code | 96859-5001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013515352 | Erin M Kang | Military Health Care Provider | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2020-10-09 |
| 1477199149 | Thomas Petersen | Physical Therapist | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2019-11-18 |
| 1285277962 | Emily Floyd Simpson | Nurse Practitioner | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2019-10-24 |
| 1659931731 | Melissa Nycole Work | Audiologist | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2019-06-19 |
| 1366000887 | Andrea Moon | Student in an Organized Health Care Education/Training Program | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2019-05-30 |
| 1316500242 | Kaitlin Dresser | Dietitian, Registered | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2019-04-16 |
| 1366925414 | Quoc Tuan Minh Luong | Licensed Vocational Nurse | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2018-09-13 |
| 1487131249 | Alexander Junho Song | Dentist | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2018-07-25 |
| 1922591304 | Hannah Russin | Student in an Organized Health Care Education/Training Program | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2018-06-11 |
| 1184116592 | Adam Kisling | Internal Medicine | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2018-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770115792 | The Janz Corporation | Durable Medical Equipment & Medical Supplies | Tripler Medical Center, C-103, Honolulu, HI 96859 | 2020-02-07 |
| 1467726927 | Elton E Bacon | Orthotist | 1 Jarrett White Rd Dept of The Army, Attn: Orthopedic Brace Clinic (mchk-dso-a), Tripler Amc, HI 96859 | 2012-03-01 |
| 1063738813 | Defense Finance & Actg Service | Military Hospital | 691 Schofield Barracks, U.s Army Health Clinic Bldg, Wahiawa, HI 96859 | 2010-04-19 |
| 1972737153 | Kyong Su Min | Orthopaedic Surgery | 1 Jarrett White Rd Bldg 4f, Tripler Army Medical Center, HI 96859 | 2009-05-04 |
| 1558503854 | Mark Andrew Gerum | Social Worker | Tripler Army Medical Center, 1 Jarrett White Road, Intensive Outpatient Program (iop), Honolulu, HI 96859 | 2009-04-01 |
| 1578720926 | Travis Jaya Mason | Surgery | Tripler Army Medical Center 1 Jarrett White Road, Honolulu, HI 96859 | 2008-05-21 |
| 1467513168 | Joselyn Cabalo Funtanilla Ponce | Registered Nurse | 1 Jarrett White Rd Bldg 4, Tripler Amc, HI 96859 | 2006-12-13 |
| 1346280195 | Harkirtin Kaur Mciver | Pediatrics | Tripler Army Medical Center Mchk-pe, 1 Jarrett White Road, Honolulu, HI 96859 | 2006-06-08 |
| 1043297740 | Jacqueline Seger | Registered Nurse | Tamc 1 Jarrett-white Rd., 1 Jarrett-white Rd. / Mchk-dsc, Honolulu, HI 96859 | 2005-12-23 |
| 1982694683 | Peter Marlin | Psychiatry & Neurology | Tamc, 1 Jarriet White Road, Honolulu, HI 96859 | 2005-10-24 |
| Find all providers in zip 96859 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033762760 | Kona Cardiovascular Inc | Internal Medicine | 75-167 Hualalai Rd Ste 100, Kailua Kona, HI 96740-1714 | 2019-07-22 |
| 1275090706 | Steven S Azuma Md Inc | Internal Medicine | 321 N Kuakini St Ste 709, Honolulu, HI 96817-2362 | 2019-02-20 |
| 1538363718 | Armand J Wohl Md Facc Medical Corp | Internal Medicine | 74-5620 Palani Rd # 100, Kailua Kona, HI 96740-3640 | 2007-06-12 |
| 1245452911 | Wesley C. Wakai, M.d., Inc. | Internal Medicine | 1010 South King Street, Suite 205, Honolulu, HI 96814-1798 | 2007-05-03 |
| 1871637397 | Ramez Bassir | Internal Medicine | 1221 Victoria St Apt 2804, Honolulu, HI 96814-1441 | 2007-02-16 |
| 1851432512 | Bernard W.d. Fong | Internal Medicine | 97 Dowsett Ave, Honolulu, HI 96817-1107 | 2007-02-08 |
| 1659430072 | Coolidge S Wakai | Internal Medicine | 1010 S King Street, Suite 110, Honolulu, HI 96814-1702 | 2006-12-08 |
| 1578641197 | Craig P. Goard | Internal Medicine | 53-532 Iole Rd., Kapaau, HI 96755-1774 | 2006-11-01 |
| 1184721763 | Armand J. Wohl | Internal Medicine | 74-5620 Palani Rd, Suite 100, Kailua Kona, HI 96740-3640 | 2006-09-17 |
| 1467557660 | Aloha Cardiology LLC | Internal Medicine | 210 Imi Kala St, Ste 209, Wailuku, HI 96793-1274 | 2006-09-13 |
| Find all providers with the same taxonomy | ||||
| City | TRIPLER AMC |
| Zip Code | 96859 |
Please comment or provide details below to improve the information on DR. RAJAT R FOFARIA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.