Provider Demographics
NPI:1417054107
Name:AU, STANFORD K (MD)
Entity Type:Individual
Prefix:DR
First Name:STANFORD
Middle Name:K
Last Name:AU
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:235 NENUE ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96821-1811
Mailing Address - Country:US
Mailing Address - Phone:808-373-3815
Mailing Address - Fax:808-373-3815
Practice Address - Street 1:459 PATTERSON RD
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96819-1522
Practice Address - Country:US
Practice Address - Phone:808-433-0354
Practice Address - Fax:808-433-7744
Is Sole Proprietor?:No
Enumeration Date:2006-09-17
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
HI16042084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology