Healthcare Provider Details

I. General information

NPI: 1245286772
Provider Name (Legal Business Name): ALOHA CRITICAL CARE ASSOCIATES LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2006
Last Update Date: 11/05/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2230 LILIHA ST CRITICAL CARE DEPT
HONOLULU HI
96817-1646
US

IV. Provider business mailing address

MAILCODE 47866 BOX 1300
HONOLULU HI
96807-1300
US

V. Phone/Fax

Practice location:
  • Phone: 808-547-6173
  • Fax: 808-949-0483
Mailing address:
  • Phone: 808-941-3363
  • Fax: 808-949-0483

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 Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: MALCOLM M HARUNO
Title or Position: MANAGING PARTNER
Credential: M.D.
Phone: 808-547-6173