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NPI Code Detail

MEDICARE: DR. ERIC ALAN CRAWLEY M.D.

MEDICARE: DR. ERIC ALAN CRAWLEY M.D.
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
1207RP1001XPulmonary Disease Physician11455HI

Other Identifiers

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

General Provider Information

NPI Number : 1497745988
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ERIC ALAN CRAWLEY M.D.
Provider Business Mailing Address
First Line : 612 HAMAKUA PL
Second Line :
City : KAILUA
State : HI
Zip : 96734-3924
Country : US
Telephone Number : 808-433-5759
Fax Number : 808-433-2297
Provider Business Practice Location Address
First Line : 888 S KING ST
Second Line : STRAUB CLINIC AND HOSPITAL
City : HONOLULU
State : HI
Zip : 96813-3097
Country : US
Telephone Number : 808-522-4321
Fax Number : 808-522-3024
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2005
Last Update Date : 02/03/2015

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