Provider Demographics
NPI:1407888506
Name:PULMONARY CRITICAL CARE AND SLEEP SPECIALIST OF HAWAII
Entity Type:Organization
Organization Name:PULMONARY CRITICAL CARE AND SLEEP SPECIALIST OF HAWAII
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:DRUGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-524-2100
Mailing Address - Street 1:1329 LUSITANA ST
Mailing Address - Street 2:SUITE 704
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-2429
Mailing Address - Country:US
Mailing Address - Phone:808-524-2100
Mailing Address - Fax:808-534-0593
Practice Address - Street 1:1329 LUSITANA ST
Practice Address - Street 2:SUITE 704
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-2429
Practice Address - Country:US
Practice Address - Phone:808-524-2100
Practice Address - Fax:808-534-0593
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI207RP1001X207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIGDRUGERMedicare ID - Type Unspecified