Healthcare Provider Details

I. General information

NPI: 1811570237
Provider Name (Legal Business Name): HISIS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2021
Last Update Date: 09/06/2024
Certification Date: 09/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

765 AMANA ST STE 400
HONOLULU HI
96814-3250
US

IV. Provider business mailing address

1481 S KING ST STE 422
HONOLULU HI
96814-2600
US

V. Phone/Fax

Practice location:
  • Phone: 808-381-8569
  • Fax:
Mailing address:
  • Phone: 808-381-8569
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: MR. PATRICK ROBERT BATTANI
Title or Position: OWNER
Credential: MPH
Phone: 808-381-8569