Healthcare Provider Details

I. General information

NPI: 1164413696
Provider Name (Legal Business Name): DANIEL S CHOI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/03/2005
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3176 POIPU RD
KOLOA HI
96756
US

IV. Provider business mailing address

3176 POIPU RD
KOLOA HI
96756-9521
US

V. Phone/Fax

Practice location:
  • Phone: 808-378-4439
  • Fax: 877-298-3323
Mailing address:
  • Phone: 808-378-4439
  • Fax: 877-298-3323

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberMD-19618
License Number StateHI
# 2
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License NumberMD19618
License Number StateHI
# 3
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License NumberMD19618
License Number StateHI
# 4
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number35264
License Number StateAZ
# 5
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number224282
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: