Healthcare Provider Details

I. General information

NPI: 1750336244
Provider Name (Legal Business Name): PAUL E HOWARD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/23/2006
Last Update Date: 09/15/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

64-1035 MAMALAHOA HWY STE J
KAMUELA HI
96743-8440
US

IV. Provider business mailing address

64-1035 MAMALAHOA HWY STE J
KAMUELA HI
96743-8440
US

V. Phone/Fax

Practice location:
  • Phone: 808-887-0706
  • Fax: 808-887-1878
Mailing address:
  • Phone: 808-887-0706
  • Fax: 808-887-1878

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number18051
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: