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Contact Information

ELIOT A DEMELLO, MD
4643 WAIMEA CANYON RD
WAIMEA, HI96796
 Phone: 904-805-1300
 Fax: 904-805-1302
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for ELIOT A DEMELLO · (Male)

NPI # 1134165301
Status Active
Credentials MD
Entity Individual
Enumeration date 06/22/2006
Last updated 07/02/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • HI License # MD-4005
  • HI License # MD4005
  • HI Medicaid 00298003
  • HI Medicaid 00298009
  • HI Other 56214644596746A011 TRICARE
  • HI Other 56214644596796A020 TRICARE
Hospital affiliation(s)
  • KAUAI VETERANS MEMORIAL HOSPITAL - (Critical Access)
    4643 WAIMEA CANYON DRIVE
    WAIMEA, HI 96796
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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