Healthcare Provider Details

I. General information

NPI: 1427153576
Provider Name (Legal Business Name): HAWAII HOSPITAL PHYSICIANS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2006
Last Update Date: 11/19/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

98-1079 MOANALUA RD
AIEA HI
96701-4713
US

IV. Provider business mailing address

PO BOX 25370
HONOLULU HI
96825-0370
US

V. Phone/Fax

Practice location:
  • Phone: 808-486-6000
  • Fax:
Mailing address:
  • Phone: 808-536-0314
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ERIC SMEDEGAARD
Title or Position: PRESIDENT
Credential:
Phone: 808-381-0005