Healthcare Provider Details

I. General information

NPI: 1871796235
Provider Name (Legal Business Name): DARIN AWAYA MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2007
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

MSC 61436 PO BOX 1300
HONOLULU HI
96807-1300
US

V. Phone/Fax

Practice location:
  • Phone: 808-532-2056
  • Fax: 808-532-2058
Mailing address:
  • Phone: 808-949-9585
  • Fax: 808-748-3311

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License NumberMD11251
License Number StateHI

VIII. Authorized Official

Name: DR. DARIN J AWAYA
Title or Position: PRESIDENT
Credential: MD
Phone: 808-532-2056