Healthcare Provider Details
I. General information
NPI: 1689870560
Provider Name (Legal Business Name): INTERNAL MEDICINE & INFECTIOUS DISEASE INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/26/2007
Last Update Date: 09/19/2025
Certification Date: 09/19/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1010 S KING ST SUITE 111
HONOLULU HI
96814-1701
US
IV. Provider business mailing address
1010 S KING ST STE 111
HONOLULU HI
96814-1702
US
V. Phone/Fax
- Phone: 808-597-8765
- Fax: 808-597-6578
- Phone: 808-597-5657
- Fax: 808-597-6578
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 173000000X |
| Taxonomy | Legal Medicine |
| License Number | MD2401 |
| License Number State | HI |
VIII. Authorized Official
Name: DR.
BRIAN
D.
PIEN
Title or Position: PRESIDENT
Credential: MD
Phone: 808-597-8765