Healthcare Provider Details

I. General information

NPI: 1295788438
Provider Name (Legal Business Name): DANIEL SABRY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2006
Last Update Date: 11/09/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 PUNCHBOWL ST
HONOLULU HI
96813-2499
US

IV. Provider business mailing address

1670 MAKALOA ST SUITE 204-110
HONOLULU HI
96814-3232
US

V. Phone/Fax

Practice location:
  • Phone: 808-691-1000
  • Fax: 808-536-0320
Mailing address:
  • Phone: 808-536-0300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD-15120
License Number StateHI
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberMD-15120
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: