Provider Demographics
NPI:1275920787
Name:PODIATRY HAWAII LLC
Entity Type:Organization
Organization Name:PODIATRY HAWAII LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:YEE
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:808-591-0020
Mailing Address - Street 1:615 PIIKOI ST STE 1401
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-3189
Mailing Address - Country:US
Mailing Address - Phone:808-591-0020
Mailing Address - Fax:808-591-0080
Practice Address - Street 1:615 PIIKOI ST STE 1401
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-3189
Practice Address - Country:US
Practice Address - Phone:808-591-0020
Practice Address - Fax:808-591-0080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-22
Last Update Date:2015-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPO77213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty