Healthcare Provider Details

I. General information

NPI: 1801046750
Provider Name (Legal Business Name): CHARLES GRANT CURAMENG LMT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2008
Last Update Date: 09/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

932 WARD AVE 6TH FLOOR
HONOLULU HI
96814-2131
US

IV. Provider business mailing address

1314 S KING ST 704
HONOLULU HI
96814-1956
US

V. Phone/Fax

Practice location:
  • Phone: 808-535-5555
  • Fax:
Mailing address:
  • Phone: 808-221-4434
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License NumberMAT8185
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: