Provider Demographics
NPI:1164658019
Name:THOMAS, BENJAMIN STUART (MD, MSCI)
Entity Type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:STUART
Last Name:THOMAS
Suffix:
Gender:M
Credentials:MD, MSCI
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Mailing Address - Street 1:1670 MAKALOA ST STE 204-324
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-3232
Mailing Address - Country:US
Mailing Address - Phone:808-531-7111
Mailing Address - Fax:808-528-5507
Practice Address - Street 1:500 ALA MOANA BLVD
Practice Address - Street 2:TOWER 5, SUITE 300
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-4920
Practice Address - Country:US
Practice Address - Phone:808-531-7111
Practice Address - Fax:808-528-5507
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-05
Last Update Date:2015-10-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2013015515207RI0200X
HIMD-18023207RI0200X
GA073163207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI131423 C5OtherALOHA INFECTIOUS DISEASES