Healthcare Provider Details

I. General information

NPI: 1639231244
Provider Name (Legal Business Name): MICHAEL ANTHONY PASQUALE D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/14/2006
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

677 ALA MOANA BLVD STE 1024
HONOLULU HI
96813-5415
US

IV. Provider business mailing address

4348 WAIALAE AVE # 153
HONOLULU HI
96816-5767
US

V. Phone/Fax

Practice location:
  • Phone: 808-945-5433
  • Fax: 808-773-7694
Mailing address:
  • Phone: 808-732-4639
  • Fax: 808-732-2179

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberDOS696
License Number StateHI
# 2
Primary TaxonomyN
Taxonomy Code2082S0105X
TaxonomySurgery of the Hand (Plastic Surgery) Physician
License NumberDOS696
License Number StateHI
# 3
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License NumberDOS696
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: