Provider Demographics
NPI:1508068768
Name:VONHAGEN, ERIK DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:ERIK
Middle Name:DAVID
Last Name:VONHAGEN
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 1:400 HOBRON LN
Mailing Address - Street 2:APT.2103
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96815-1226
Mailing Address - Country:US
Mailing Address - Phone:714-321-9556
Mailing Address - Fax:
Practice Address - Street 1:400 HOBRON LN
Practice Address - Street 2:APT.2103
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96815-1226
Practice Address - Country:US
Practice Address - Phone:714-321-9556
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-01
Last Update Date:2021-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI4290207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine