Provider Demographics
NPI:1437362845
Name:SHEEHAN, WILLIAM PATRICK (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:PATRICK
Last Name:SHEEHAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2206 AHA NIU PL
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96821-1009
Mailing Address - Country:US
Mailing Address - Phone:808-732-0908
Mailing Address - Fax:808-586-4745
Practice Address - Street 1:1250 PUNCHBOWL ST
Practice Address - Street 2:SUITE 256
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-2416
Practice Address - Country:US
Practice Address - Phone:808-586-4692
Practice Address - Fax:808-586-4745
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD49252084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIJ2262-2Medicaid
HIJ2262-2Medicaid