NPI 1134667603

Honolulu Dermatology LLC

Organisation Dermatology Physician Honolulu, HI

Practice location

Address: 1953 S Beretania St Suite 3c, Honolulu, HI 96826-1300
Phone: (808) 670-3333
Fax: (808) 447-8715
Mailing address: PO Box 11736, Honolulu, HI 96828-0736

Authorised official

Name: Shad Michael Gill
Title: Manager
Phone: (808) 670-3333

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 18537 (HI)

Other Dermatology providers in Hawaii →

Registry record

NPI: 1134667603
Entity type: Organization
NPI issued: 6 Feb 2017
Record last updated: 6 Feb 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.