Kuldeep S Tagore (NPI# 1326002700, PAC ID# 0143206680) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1326002700 |
| PAC ID by PECOS | 0143206680 |
| Professional Enrollment ID | I20180815001476 |
| Full Name | Kuldeep S Tagore |
| Organization Legal Name | HAWAII PERMANENTE MEDICAL GROUP INC |
| Address |
80 Mahalani St Wailuku HI 96793-2531 |
| Phone Number | 8082436000 |
| Gender | M |
| Credential | MD |
| Medical School | CREIGHTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | GASTROENTEROLOGY |
| Group Practice PAC ID | 7618880667 |
| Number of Group Practice Members | 535 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 120002 | MAUI MEMORIAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 80 Mahalani St, Wailuku, HI 96793-2531 | 8082436000 | HAWAII PERMANENTE MEDICAL GROUP INC |
| Organization Legal Name | HAWAII PERMANENTE MEDICAL GROUP INC |
| Physicians | 616 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carrie L Colmenares Roys | Pediatric Medicine | Hawaii Permanente Medical Group Inc | 74 -517 Honokohau St, Kailua Kona, HI 96740-2715 |
| Wei-li Hsu | Psychiatry | Hawaii Permanente Medical Group Inc | 1441 Kapiolani Blvd 16th Fl, Honolulu, HI 96814-4401 |
| Sara C Harris | Obstetrics/gynecology | Hawaii Permanente Medical Group Inc | 94 -1480 Moaniani St, Waipahu, HI 96797-4632 |
| John G Meisel | Family Medicine | Hawaii Permanente Medical Group Inc | 55 Mauilani Hwy, Wailuku, HI 96793-2416 |
| Michelle Delneo | Gastroenterology | Hawaii Permanente Medical Group Inc | 2828 Paa St, Honolulu, HI 96819-4430 |
| Heidi M Solberg-shankle | Emergency Medicine | Hawaii Permanente Medical Group Inc | 3288 Moanalua Rd, Honolulu, HI 96819-1469 |
| Kisun Lee | Psychiatry | Hawaii Permanente Medical Group Inc | 2073 Wells St, Suite 101, Wailuku, HI 96793-2228 |
| Marc Andrew Albertson | Physician Assistant | Hawaii Permanente Medical Group Inc | 1292 Waianuenue Ave, Hilo, HI 96720-1228 |
| Gary G Yap | Family Medicine | Hawaii Permanente Medical Group Inc | 201 Hamakua Dr, Kailua, HI 96734-3984 |
| Johnnie A Yates | Family Medicine | Hawaii Permanente Medical Group Inc | 87-2116 Farrington Hwy, Waianae, HI 96792-3854 |
| Street Address |
80 MAHALANI ST |
| City | WAILUKU |
| State | HI |
| Zip | 96793-2531 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James A Ferrier | Orthopedic Surgery | Hawaii Permanente Medical Group Inc | 80 Mahalani St, Wailuku, HI 96793-2531 |
| Kimberley M Wirsing | Orthopedic Surgery | Hawaii Permanente Medical Group Inc | 80 Mahalani St, Wailuku, HI 96793-2531 |
| Eduardo G Villasenor | General Practice | Hawaii Permanente Medical Group Inc | 80 Mahalani St, Wailuku, HI 96793-2531 |
| Ann M Rahall | Obstetrics/gynecology | Hawaii Permanente Medical Group Inc | 80 Mahalani St, Wailuku, HI 96793-2531 |
| Alan S W Song | Otolaryngology | Hawaii Permanente Medical Group Inc | 80 Mahalani St, Wailuku, HI 96793-2531 |
| Michael E Kim | Obstetrics/gynecology | Hawaii Permanente Medical Group Inc | 80 Mahalani St, Wailuku, HI 96793-2531 |
| Tiffinie R Mercado | Obstetrics/gynecology | Hawaii Permanente Medical Group Inc | 80 Mahalani St, Wailuku, HI 96793-2531 |
| Thomas T Deleon | Hematology/oncology | Hawaii Permanente Medical Group Inc | 80 Mahalani St, Wailuku, HI 96793-2531 |
| Benjamin T Shurtleff | Urology | Hawaii Permanente Medical Group Inc | 80 Mahalani St, Wailuku, HI 96793-2531 |
| May Zhang | Dermatology | Hawaii Permanente Medical Group Inc | 80 Mahalani St, Wailuku, HI 96793-2531 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Soren Carlsen | Urology | 1883 Mill St, Wailuku, HI 96793-1236 | |
| Robert D Lanser Jr. | Clinical Social Worker | Aloha House, Inc. | 1787 Wili Pa Loop, Suite 7, Wailuku, HI 96793-1271 |
| David J Wittenberg | Psychologist, Clinical | Aloha House, Inc. | 1787 Wili Pa Loop, Suite 7, Wailuku, HI 96793-1271 |
| Bahram Taghavi | Psychiatry | Aloha House, Inc. | 1787 Wili Pa Loop, Suite 7, Wailuku, HI 96793-1271 |
| Margaret E Goldberg | Clinical Social Worker | Aloha House, Inc. | 1787 Wili Pa Loop, Suite 7, Wailuku, HI 96793-1271 |
| George L Carlson | Addiction Medicine | Aloha House, Inc. | 1787 Wili Pa Loop, Suite 7, Wailuku, HI 96793-1271 |
| Connie J Debord | Clinical Social Worker | Aloha House, Inc. | 1787 Wili Pa Loop, Suite 7, Wailuku, HI 96793-1271 |
| Joel Tapler | Clinical Social Worker | Aloha House, Inc. | 1787 Wili Pa Loop, Suite 7, Wailuku, HI 96793-1271 |
| Royal Randolph Jr. | Psychiatry | Aloha House, Inc. | 1787 Wili Pa Loop, Suite 7, Wailuku, HI 96793-1271 |
| Sharilyn Jane Butteling | Nurse Practitioner | Aloha House, Inc. | 1787 Wili Pa Loop, Suite 7, Wailuku, HI 96793-1271 |
| Find all physicians in zip 96793 | |||
| City | WAILUKU |
| Zip Code | 96793 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | WAILUKU + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Kuldeep S Tagore.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.