Provider Demographics
NPI:1710221155
Name:BIRENDRA S. HUJA M.D. INC.
Entity Type:Organization
Organization Name:BIRENDRA S. HUJA M.D. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D
Authorized Official - Prefix:DR
Authorized Official - First Name:BIRENDRA
Authorized Official - Middle Name:SINAN
Authorized Official - Last Name:HUJA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-593-0520
Mailing Address - Street 1:1040 S. KING ST.
Mailing Address - Street 2:STE 312
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814
Mailing Address - Country:US
Mailing Address - Phone:808-593-0520
Mailing Address - Fax:808-593-0520
Practice Address - Street 1:1040 SOUTH KING STREET
Practice Address - Street 2:SUITE 312
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814
Practice Address - Country:US
Practice Address - Phone:808-593-0520
Practice Address - Fax:808-593-0520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-26
Last Update Date:2012-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIW20481578-01207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI1386625630Medicare UPIN
H0000BDFLSMedicare PIN