Healthcare Provider Details

I. General information

NPI: 1174196224
Provider Name (Legal Business Name): ANA M DIGAO, MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2021
Last Update Date: 07/16/2021
Certification Date: 07/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 PUNCHBOWL ST
HONOLULU HI
96813-2402
US

IV. Provider business mailing address

4999 KAHALA AVE SUITE 167
HONOLULU HI
96816
US

V. Phone/Fax

Practice location:
  • Phone: 808-538-9011
  • Fax:
Mailing address:
  • Phone: 808-955-6263
  • Fax: 808-955-6263

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ANA MARIE DIGAO
Title or Position: CEO
Credential: MD
Phone: 808-955-6263