Healthcare Provider Details

I. General information

NPI: 1306939475
Provider Name (Legal Business Name): EUGENE MC LEE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

321 N KUAKINI ST 305
HONOLULU HI
96817-2360
US

IV. Provider business mailing address

321 N KUAKINI ST STE 305
HONOLULU HI
96817-2360
US

V. Phone/Fax

Practice location:
  • Phone: 808-523-5688
  • Fax: 808-523-0030
Mailing address:
  • Phone: 808-523-5688
  • Fax: 808-523-0030

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberHOSPITALIST MD9489
License Number StateHI
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD9489
License Number StateHI
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD9489
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: