Provider Demographics
NPI:1235265828
Name:FRIAR, DAVID H
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:H
Last Name:FRIAR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:DAVID
Other - Middle Name:H
Other - Last Name:FRIAR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:44-141 HAKO ST
Mailing Address - Street 2:#5
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-2511
Mailing Address - Country:US
Mailing Address - Phone:808-389-2515
Mailing Address - Fax:808-234-7379
Practice Address - Street 1:377 KEAHOLE ST
Practice Address - Street 2:SUITE E-210
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96825-3405
Practice Address - Country:US
Practice Address - Phone:808-394-8151
Practice Address - Fax:808-396-3070
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2014-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI84942084P0800X, 2084P0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0802XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIEN625AOtherMEDICARE PTAN
HIEN625AOtherMEDICARE PTAN
F76686Medicare UPIN