Healthcare Provider Details

I. General information

NPI: 1578994018
Provider Name (Legal Business Name): PULMONARY CRITICAL CARE AND SLEEP SPECIALISTS OF HAWAII, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2013
Last Update Date: 12/10/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1329 LUSITANA ST SUITE 704
HONOLULU HI
96813-2429
US

IV. Provider business mailing address

1329 LUSITANA ST SUITE 704
HONOLULU HI
96813-2429
US

V. Phone/Fax

Practice location:
  • Phone: 808-524-2100
  • Fax:
Mailing address:
  • Phone: 808-524-2100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number16537
License Number StateHI

VIII. Authorized Official

Name: GEORGE DRUGER
Title or Position: PHYSICIAN
Credential: MD
Phone: 808-524-2100