Healthcare Provider Details
I. General information
NPI: 1922233626
Provider Name (Legal Business Name): OHANA WOMENS HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/26/2009
Last Update Date: 05/26/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
95-119 KAMEHAMEHA HWY STE A
MILILANI HI
96789-3393
US
IV. Provider business mailing address
95-119 KAMEHAMEHA HWY STE A
MILILANI HI
96789-3393
US
V. Phone/Fax
- Phone: 808-232-8400
- Fax:
- Phone: 808-232-8400
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | 14739 |
| License Number State | HI |
VIII. Authorized Official
Name: DR.
STEPHEN
THOMAS
FOLEY
Title or Position: PRESIDENT
Credential: M.D.
Phone: 808-232-8400