MEDICARE: DR. DARIN J AWAYA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	A77776	CA
2	207X00000X	Orthopaedic Surgery Physician	MD11251	HI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477544633
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DARIN J AWAYA MD

Provider Business Mailing Address
First Line	:	405 N KUAKINI ST STE 1105
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96817-6301
Country	:	US
Telephone Number	:	808-532-2056
Fax Number	:	808-532-2058

Provider Business Practice Location Address
First Line	:	405 N KUAKINI ST STE 1105
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96817-6301
Country	:	US
Telephone Number	:	808-532-2056
Fax Number	:	808-532-2058

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/04/2005
Last Update Date	:	09/18/2020

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