Healthcare Provider Details

I. General information

NPI: 1144361239
Provider Name (Legal Business Name): STEVEN F HAYASHIDA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/09/2007
Last Update Date: 12/07/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1329 LUSITANA ST STE 702
HONOLULU HI
96813-2431
US

IV. Provider business mailing address

1329 LUSITANA ST STE 702
HONOLULU HI
96813-2431
US

V. Phone/Fax

Practice location:
  • Phone: 808-536-0630
  • Fax: 808-536-0251
Mailing address:
  • Phone: 808-536-0630
  • Fax: 808-536-0251

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberMD-5427
License Number StateHI
# 2
Primary TaxonomyN
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License NumberM-1434
License Number StateGU

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: