Healthcare Provider Details

I. General information

NPI: 1841210341
Provider Name (Legal Business Name): DAVID STEIN M D PH D INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2006
Last Update Date: 02/02/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1350 S KING ST STE 325
HONOLULU HI
96814-2008
US

IV. Provider business mailing address

1350 S KING ST STE 325
HONOLULU HI
96814-2008
US

V. Phone/Fax

Practice location:
  • Phone: 808-591-9116
  • Fax: 808-591-9655
Mailing address:
  • Phone: 808-591-9116
  • Fax: 808-591-9655

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD5728
License Number StateHI

VIII. Authorized Official

Name: DR. DAVID STEIN
Title or Position: PRESIDENT
Credential: M.D., PH.D.
Phone: 808-591-9116