Healthcare Provider Details

I. General information

NPI: 1548476450
Provider Name (Legal Business Name): JAMES READ LANGWORTHY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/15/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 S KING ST SUITE 804
HONOLULU HI
96814-1701
US

IV. Provider business mailing address

1010 S KING ST SUITE 804
HONOLULU HI
96814-1701
US

V. Phone/Fax

Practice location:
  • Phone: 808-593-0177
  • Fax: 808-593-0366
Mailing address:
  • Phone: 808-593-0177
  • Fax: 808-593-0366

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number2034
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: