Provider Demographics
NPI:1497320402
Name:OAHU PAIN CARE HILO
Entity Type:Organization
Organization Name:OAHU PAIN CARE HILO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:
Authorized Official - Last Name:PAU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-933-7222
Mailing Address - Street 1:1122 MAIHA CIR
Mailing Address - Street 2:
Mailing Address - City:PEARL CITY
Mailing Address - State:HI
Mailing Address - Zip Code:96782-1462
Mailing Address - Country:US
Mailing Address - Phone:808-783-7613
Mailing Address - Fax:808-531-7223
Practice Address - Street 1:80 PAUAHI ST STE 101
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-3043
Practice Address - Country:US
Practice Address - Phone:808-933-7222
Practice Address - Fax:808-933-7224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-21
Last Update Date:2021-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty