Provider Demographics
NPI:1679777080
Name:PALANISWAMI, ARUN NALLAGOUNDER (MD)
Entity Type:Individual
Prefix:DR
First Name:ARUN
Middle Name:NALLAGOUNDER
Last Name:PALANISWAMI
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 1:1645 ALA WAI BLVD
Mailing Address - Street 2:APT#1203
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96815-1065
Mailing Address - Country:US
Mailing Address - Phone:312-303-0229
Mailing Address - Fax:
Practice Address - Street 1:2226 LILIHA ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-1600
Practice Address - Country:US
Practice Address - Phone:808-547-6011
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-12
Last Update Date:2009-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2006016511282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIMD15357OtherHAWAII MEDICAL LICENCSE
MO2006016511OtherLICENSCE NUMBER