Organization · Type 2 NPI

Disu Hawaii Inc

Plastic and Reconstructive Surgery Physician · Honolulu, HI

NPI number 1295423119 Active

Practice location

1319 Punahou St Ste 1070
Honolulu, HI 96826-1081

Specialties and licenses

Taxonomy	Code	License
Plastic and Reconstructive Surgery Physician Primary	2086S0122X	None listed

Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.

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NPI record

NPI: 1295423119
Entity type: Organization (Type 2)
Issued: Apr 27, 2023
Last updated: May 2, 2023
Status: Active
Subpart: Yes of Disu Hawaii Inc

Other names

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Athena Clinic · doing business as
Athena Clinic · doing business as

Authorized official

Dianne Hom
Credentialing
(808) 282-9676

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1295423119

Disu Hawaii Inc's National Provider Identifier is 1295423119, issued on Apr 27, 2023. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Honolulu, HI. The record was last updated on May 2, 2023.