Healthcare Provider Details

I. General information

NPI: 1144219775
Provider Name (Legal Business Name): STEVEN A HANKINS M.D., M.P.H., M.T.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2005
Last Update Date: 11/29/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95-390 KUAHELANI AVE PHYSICIAN CENTER MILILANI
MILILANI HI
96789-1192
US

IV. Provider business mailing address

95-390 KUAHELANI AVE PHYSICIAN CENTER MILILANI
MILILANI HI
96789-1192
US

V. Phone/Fax

Practice location:
  • Phone: 808-627-3200
  • Fax: 808-627-3262
Mailing address:
  • Phone: 808-627-3200
  • Fax: 808-627-3262

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberD0066790
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number16316
License Number StateHI
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number81528
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number33203
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: