Provider Demographics
NPI:1083668701
Name:GARON, STEVEN J (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:J
Last Name:GARON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 PAUAHI ST
Mailing Address - Street 2:SUITE #103
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720-3065
Mailing Address - Country:US
Mailing Address - Phone:808-961-6420
Mailing Address - Fax:808-935-0228
Practice Address - Street 1:1190 WAIANUENUE AVE
Practice Address - Street 2:ATTN ANESTHESIA DEPT
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-2020
Practice Address - Country:US
Practice Address - Phone:808-974-4700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-19
Last Update Date:2010-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-6176207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI02923702Medicaid
HIC0032601OtherH.M.S.A.
HID0032609OtherH.M.S.A.
HI02923702Medicaid
HID0032609OtherH.M.S.A.