Provider Demographics
NPI:1346486941
Name:PULMONARY CLINIC OF HAWAII INC
Entity Type:Organization
Organization Name:PULMONARY CLINIC OF HAWAII INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROY
Authorized Official - Middle Name:S
Authorized Official - Last Name:ADANIYA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-536-2031
Mailing Address - Street 1:820 MILILANI ST
Mailing Address - Street 2:STE 702A
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-2993
Mailing Address - Country:US
Mailing Address - Phone:808-523-9363
Mailing Address - Fax:808-523-9418
Practice Address - Street 1:846 S HOTEL ST
Practice Address - Street 2:STE 102
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-2583
Practice Address - Country:US
Practice Address - Phone:808-536-2031
Practice Address - Fax:808-536-2033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-02
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD 1806207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI=========OtherTAX ID