Healthcare Provider Details

I. General information

NPI: 1407871460
Provider Name (Legal Business Name): EDWARD ALEXANDER SILVER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/12/2006
Last Update Date: 04/21/2020
Certification Date: 04/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1329 LUSITANA ST STE 707
HONOLULU HI
96813-2434
US

IV. Provider business mailing address

1329 LUSITANA ST STE 801
HONOLULU HI
96813-2434
US

V. Phone/Fax

Practice location:
  • Phone: 808-536-7327
  • Fax: 808-536-2513
Mailing address:
  • Phone: 808-536-4335
  • Fax: 808-537-9195

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number04988
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: