Provider Demographics
NPI:1164538815
Name:FOWLER, STEVEN FRANCIS (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:FRANCIS
Last Name:FOWLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4348 WAIALAE AVE
Mailing Address - Street 2:#702
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-5767
Mailing Address - Country:US
Mailing Address - Phone:424-206-1919
Mailing Address - Fax:310-303-7944
Practice Address - Street 1:928 NUUANU AVE
Practice Address - Street 2:#400
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-5192
Practice Address - Country:US
Practice Address - Phone:808-521-1300
Practice Address - Fax:808-521-1350
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2013-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-12783208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI55302502Medicaid
HI00A0247245OtherHMSA
HIH54600Medicare UPIN