Healthcare Provider Details

I. General information

NPI: 1427534791
Provider Name (Legal Business Name): DARREN DANIEL DUGAS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2018
Last Update Date: 11/01/2024
Certification Date: 11/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2230 LILIHA ST STE 104
HONOLULU HI
96817-7357
US

IV. Provider business mailing address

2230 LILIHA ST STE 104
HONOLULU HI
96817-7357
US

V. Phone/Fax

Practice location:
  • Phone: 808-261-4476
  • Fax:
Mailing address:
  • Phone: 808-261-4476
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberMD-24210-0
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: