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General NPI Number Information
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NPI Number | 1043956709
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Entity Type | Individual
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Provider Name | TITUS SAMUEL DAVID MD
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Gender | Male
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Dates
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Enumeration Date | 05/06/2022
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 347 N KUAKINI ST
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City | HONOLULU
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State | HI
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Zip | 96817-2381
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Country | US
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Telephone | 808-536-2236
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Fax |
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Provider Business Mailing Address
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Address Line | 915 MAKAMUA PL
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City | PEARL CITY
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State | HI
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Zip | 96782-2012
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Country | US
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Telephone | 646-377-6638
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MDR-8302
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD-25130
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License Number State | HI
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