Healthcare Provider Details

I. General information

NPI: 1720043706
Provider Name (Legal Business Name): JAMES D GREIG MD FACS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2006
Last Update Date: 12/17/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

321 N KUAKINI STREET SUITE 814
HONOLULU HI
96817
US

IV. Provider business mailing address

321 N KUAKINI STREET SUITE 814
HONOLULU HI
96817
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:
Title or Position:
Credential:
Phone: