Healthcare Provider Details
I. General information
NPI: 1063328706
Provider Name (Legal Business Name): GI HAWAII
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1356 LUSITANA ST
HONOLULU HI
96813-2409
US
IV. Provider business mailing address
1356 LUSITANA ST
HONOLULU HI
96813-2409
US
V. Phone/Fax
- Phone: 808-377-1812
- Fax: 833-377-0460
- Phone: 808-377-1812
- Fax: 833-377-0460
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RG0100X |
| Taxonomy | Gastroenterology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SCOTT
K.
KUWADA
Title or Position: SOLE PROPRIETOR
Credential: MD
Phone: 808-377-1812