Healthcare Provider Details

I. General information

NPI: 1346217718
Provider Name (Legal Business Name): WILLIAM S. LOUI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/03/2006
Last Update Date: 03/31/2021
Certification Date: 03/31/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1329 LUSITANA ST STE 307
HONOLULU HI
96813-2435
US

IV. Provider business mailing address

640 ULUKAHIKI ST
KAILUA HI
96734-4454
US

V. Phone/Fax

Practice location:
  • Phone: 808-524-6115
  • Fax: 808-528-1711
Mailing address:
  • Phone: 808-263-5011
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberMD10912
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: