Healthcare Provider Details

I. General information

NPI: 1477544633
Provider Name (Legal Business Name): DARIN J AWAYA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/04/2005
Last Update Date: 09/18/2020
Certification Date: 09/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

405 N KUAKINI ST STE 1105
HONOLULU HI
96817-6301
US

IV. Provider business mailing address

405 N KUAKINI ST STE 1105
HONOLULU HI
96817-6301
US

V. Phone/Fax

Practice location:
  • Phone: 808-532-2056
  • Fax: 808-532-2058
Mailing address:
  • Phone: 808-532-2056
  • Fax: 808-532-2058

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberA77776
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberMD11251
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: