Provider Demographics
NPI:1144219775
Name:HANKINS, STEVEN A (MD, MPH, MTS)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:A
Last Name:HANKINS
Suffix:
Gender:M
Credentials:MD, MPH, MTS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95-390 KUAHELANI AVE
Mailing Address - Street 2:PHYSICIAN CENTER MILILANI
Mailing Address - City:MILILANI
Mailing Address - State:HI
Mailing Address - Zip Code:96789-1192
Mailing Address - Country:US
Mailing Address - Phone:808-627-3200
Mailing Address - Fax:808-627-3262
Practice Address - Street 1:95-390 KUAHELANI AVE
Practice Address - Street 2:PHYSICIAN CENTER MILILANI
Practice Address - City:MILILANI
Practice Address - State:HI
Practice Address - Zip Code:96789-1192
Practice Address - Country:US
Practice Address - Phone:808-627-3200
Practice Address - Fax:808-627-3262
Is Sole Proprietor?:No
Enumeration Date:2005-10-17
Last Update Date:2011-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0066790207Q00000X
HI16316207Q00000X
CA81528207Q00000X
AZ33203207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM87927560OtherMEDICAID
AZP00140458OtherRAILROAD
AZ879075Medicaid
AZ82208Medicare ID - Type Unspecified
AZ879075Medicaid
NM87927560OtherMEDICAID