Healthcare Provider Details

I. General information

NPI: 1568781623
Provider Name (Legal Business Name): JAMES D. GREIG, M.D. INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2010
Last Update Date: 05/27/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

321 N KUAKINI ST STE 814
HONOLULU HI
96817-2362
US

IV. Provider business mailing address

321 N KUAKINI ST STE 814
HONOLULU HI
96817-2362
US

V. Phone/Fax

Practice location:
  • Phone: 808-533-4544
  • Fax: 808-532-6766
Mailing address:
  • Phone: 808-533-4544
  • Fax: 808-532-6766

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License NumberMD5036
License Number StateHI

VIII. Authorized Official

Name: DR. JAMES DAVID GREIG
Title or Position: PRESIDENT
Credential: MD
Phone: 808-533-4544