Healthcare Provider Details

I. General information

NPI: 1164548988
Provider Name (Legal Business Name): EILEEN HILTON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2007
Last Update Date: 02/07/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1296 KAPIOLANI BLVD APT 3605
HONOLULU HI
96814-2896
US

IV. Provider business mailing address

44-317 KANEOHE BAY DR APT B
KANEOHE HI
96744-2632
US

V. Phone/Fax

Practice location:
  • Phone: 808-593-9104
  • Fax:
Mailing address:
  • Phone: 808-593-9104
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number13384
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: