Dr. Shallon Tore Craddock --
M.D., M.P.H. | Pediatrics | Female
Dr. Shallon Tore Craddock --, M.D., M.P.H. is a Hilo, Hawaii based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Shallon Tore Craddock -- is
2250 Kaumana Dr, Hilo, Hawaii - 96720-1316. She can be contacted on phone at
808-315-1519 and fax number 808-935-9259.
Dr. Shallon Tore Craddock -- is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Shallon Tore Craddock -- is
1700088846 which was assigned by NPPES on 01 Jun, 2007 and it was last updated on 07 Mar, 2023.
Dr. Shallon Tore Craddock -- license number is
17956 for Pediatrics (208000000X) in Hawaii.
Dr. Shallon Tore Craddock -- is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Shallon Tore Craddock -- basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
Specialization : | Pediatrics |
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Provider Name : | Dr. Shallon Tore Craddock -- |
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Credential : | M.D., M.P.H. |
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Gender : | Female |
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Business Address:
Dr. Shallon Tore Craddock -- address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address : | 2250 Kaumana Dr Hilo, HI, 96720-1316 United States |
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Phone Number : | 808-315-1519 |
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Fax Number : | 808-935-9259 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : | 1700088846 |
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NPI Entity Type : | Individual |
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First Enrolment Date : | 01 Jun, 2007 |
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Last Updated On : | 07 Mar, 2023 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Shallon Tore Craddock -- are as mentioned. Primary taxonomy code for Dr. Shallon Tore Craddock --, M.D., M.P.H. is
208000000X (Pediatrics).
Taxonomy Code | Speciality | Primary | License No. | State |
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208000000X | Pediatrics | No | 7298 | AK |
208000000X | Pediatrics | Yes | 17956 | HI |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Shallon Tore Craddock -- such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
Identifier | Identifier Type | State | Issuer |
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0361450001 | MEDICARE NSC | AK | |
1574708 | MEDICAID | AK | |
K163945 | MEDICARE PIN | AK | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address : | 199 Ululani St Hilo, HI, 96720-2930 United States |
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Phone Number : | 808-315-1886 |
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Fax Number : | 808-935-9259 |
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Business Location:
Patients can refer following map for directions to
Dr. Shallon Tore Craddock -- practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.