Provider Demographics
NPI:1558598615
Name:NEUROLOGICAL SERVICES OF HAWAII INC
Entity Type:Organization
Organization Name:NEUROLOGICAL SERVICES OF HAWAII INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NEAL
Authorized Official - Middle Name:
Authorized Official - Last Name:PRAKASH
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PHD
Authorized Official - Phone:760-512-0894
Mailing Address - Street 1:PO BOX 4636
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96812-4636
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1296 KAPIOLANI BLVD
Practice Address - Street 2:4607
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-2896
Practice Address - Country:US
Practice Address - Phone:808-596-9236
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-16
Last Update Date:2009-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty