Healthcare Provider Details

I. General information

NPI: 1144371378
Provider Name (Legal Business Name): GREIGH I HIRATA MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/15/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 KAPIOLANI BLVD SUITE 1025
HONOLULU HI
96814-3801
US

IV. Provider business mailing address

1600 KAPIOLANI BLVD SUITE 1025
HONOLULU HI
96814-3801
US

V. Phone/Fax

Practice location:
  • Phone: 808-945-2229
  • Fax: 808-945-2230
Mailing address:
  • Phone: 808-945-2229
  • Fax: 808-945-2230

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number7223
License Number StateHI

VIII. Authorized Official

Name: DR. GREIGH ISAMU HIRATA
Title or Position: PRESIDENT
Credential: MD
Phone: 808-945-2229