Healthcare Provider Details

I. General information

NPI: 1851382931
Provider Name (Legal Business Name): DAVID FRANCIS CRUDO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/29/2005
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 S BERETANIA ST STE 850
HONOLULU HI
96814-1874
US

IV. Provider business mailing address

1319 PUNAHOU ST
HONOLULU HI
96826-1080
US

V. Phone/Fax

Practice location:
  • Phone: 808-983-6206
  • Fax:
Mailing address:
  • Phone: 808-983-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080P0205X
TaxonomyPediatric Endocrinology Physician
License Number29902
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code2080P0205X
TaxonomyPediatric Endocrinology Physician
License Number27361
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: