Healthcare Provider Details

I. General information

NPI: 1316999220
Provider Name (Legal Business Name): LARRY DAY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3675 KILAUEA AVE 5TH FLOOR
HONOLULU HI
96816-2333
US

IV. Provider business mailing address

677 ALA MOANA BLVD SUITE 1025
HONOLULU HI
96813-5419
US

V. Phone/Fax

Practice location:
  • Phone: 808-737-2751
  • Fax: 808-735-7047
Mailing address:
  • Phone: 808-535-5975
  • Fax: 808-535-5976

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberMD12536
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: