Healthcare Provider Details

I. General information

NPI: 1821009291
Provider Name (Legal Business Name): SURGICAL EDUCATION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

405 N KUAKINI ST STE 401
HONOLULU HI
96817
US

IV. Provider business mailing address

405 N KUAKINI ST STE 601
HONOLULU HI
96817
US

V. Phone/Fax

Practice location:
  • Phone: 808-526-5811
  • Fax: 808-596-0370
Mailing address:
  • Phone: 808-440-1093
  • Fax: 808-440-2252

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number6937
License Number StateHI
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number9040
License Number StateHI
# 3
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number9345
License Number StateHI
# 4
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number1305
License Number StateHI

VIII. Authorized Official

Name: DR. ROBERT H OISHI
Title or Position: ACTING PTESIDENT SURGICAL EDUCATION
Credential:
Phone: 808-536-5811