MEDICARE: LOIS SARUWATARI, M.D., LLC

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	207R00000X	Internal Medicine Physician	MD7521	HI

General Provider Information

NPI Number	:	1669705828
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOIS SARUWATARI, M.D., LLC

Provider Business Mailing Address
First Line	:	1003 BISHOP ST
Second Line	:	SUITE 395
City	:	HONOLULU
State	:	HI
Zip	:	96813-6400
Country	:	US
Telephone Number	:	808-535-1555
Fax Number	:

Provider Business Practice Location Address
First Line	:	1003 BISHOP ST
Second Line	:	SUITE 395
City	:	HONOLULU
State	:	HI
Zip	:	96813-6400
Country	:	US
Telephone Number	:	808-535-1555
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PHYSICIAN
Name	:	LOIS SARUWATARI
Credential	:	M.D.
Telephone Number	:	808-535-1555

Provider Enumeration Date	:	09/04/2009
Last Update Date	:	04/02/2013

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