Healthcare Provider Details

I. General information

NPI: 1942300645
Provider Name (Legal Business Name): TODD T. KUWAYE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2006
Last Update Date: 06/24/2021
Certification Date: 06/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45-602 KAMEHAMEHA HWY
KANEOHE HI
96744-2017
US

IV. Provider business mailing address

45-602 KAMEHAMEHA HWY
KANEOHE HI
96744-2017
US

V. Phone/Fax

Practice location:
  • Phone: 808-432-3800
  • Fax:
Mailing address:
  • Phone: 808-432-3800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD-11426
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: