Healthcare Provider Details

I. General information

NPI: 1326317009
Provider Name (Legal Business Name): OAHU PAIN CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/24/2011
Last Update Date: 07/24/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2228 LILIHA STREET SUITE #307
HONOLULU HI
96817-1653
US

IV. Provider business mailing address

2228 LILIHA STREET SUITE #307
HONOLULU HI
96817-1653
US

V. Phone/Fax

Practice location:
  • Phone: 808-531-7222
  • Fax: 808-531-7223
Mailing address:
  • Phone: 808-531-7222
  • Fax: 808-531-7223

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License NumberMD-16289
License Number StateHI

VIII. Authorized Official

Name: LOUIS JK PAU
Title or Position: PRESIDENT
Credential: M.D.
Phone: 808-531-7222