Healthcare Provider Details

I. General information

NPI: 1386644862
Provider Name (Legal Business Name): GILDO SABANPAN SORIANO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 07/27/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

916 KILANI AVE
WAHIAWA HI
96786-2102
US

IV. Provider business mailing address

916 KILANI AVE
WAHIAWA HI
96786-2102
US

V. Phone/Fax

Practice location:
  • Phone: 808-621-5042
  • Fax: 808-621-9313
Mailing address:
  • Phone: 808-621-5042
  • Fax: 808-621-9313

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number2466
License Number StateHI
# 2
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number2466
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: