=====================================================
General NPI Number Information
=====================================================
NPI Number | 1689870560
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | INTERNAL MEDICINE & INFECTIOUS DISEASE INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/26/2007
-----------------------------------------------------
Last Update Date | 09/19/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1010 S KING ST SUITE 111
-----------------------------------------------------
City | HONOLULU
-----------------------------------------------------
State | HI
-----------------------------------------------------
Zip | 96814-1701
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 808-597-8765
-----------------------------------------------------
Fax | 808-597-6578
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1010 S KING ST STE 111
-----------------------------------------------------
City | HONOLULU
-----------------------------------------------------
State | HI
-----------------------------------------------------
Zip | 96814-1702
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 808-597-5657
-----------------------------------------------------
Fax | 808-597-6578
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. BRIAN D. PIEN
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 808-597-8765
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 173000000X
-----------------------------------------------------
Taxonomy Name | Legal Medicine
-----------------------------------------------------
License Number | MD2401
-----------------------------------------------------
License Number State | HI
-----------------------------------------------------