Healthcare Provider Details

I. General information

NPI: 1104032234
Provider Name (Legal Business Name): SANDI ALEXANDER KWEE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/15/2007
Last Update Date: 05/19/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 PUNCHBOWL ST NUCLEAR MEDICINE DEPT.
HONOLULU HI
96813-2402
US

IV. Provider business mailing address

1177 QUEEN ST #2504
HONOLULU HI
96814-4138
US

V. Phone/Fax

Practice location:
  • Phone: 808-585-5466
  • Fax: 808-537-7813
Mailing address:
  • Phone: 808-595-4818
  • Fax: 808-595-4818

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number10547
License Number StateHI
# 2
Primary TaxonomyY
Taxonomy Code207U00000X
TaxonomyNuclear Medicine Physician
License Number10547
License Number StateHI
# 3
Primary TaxonomyN
Taxonomy Code207UN0901X
TaxonomyNuclear Cardiology Physician
License Number10547
License Number StateHI
# 4
Primary TaxonomyN
Taxonomy Code207UN0902X
TaxonomyNuclear Imaging & Therapy Physician
License Number10547
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: