Provider Demographics
NPI:1720043706
Name:GREIG, JAMES D (MD FACS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:D
Last Name:GREIG
Suffix:
Gender:M
Credentials:MD FACS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 N KUAKINI STREET
Mailing Address - Street 2:SUITE 814
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817
Mailing Address - Country:US
Mailing Address - Phone:808-533-4544
Mailing Address - Fax:808-532-6766
Practice Address - Street 1:321 N KUAKINI STREET
Practice Address - Street 2:SUITE 814
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817
Practice Address - Country:US
Practice Address - Phone:808-533-4544
Practice Address - Fax:808-532-6766
Is Sole Proprietor?:No
Enumeration Date:2006-04-20
Last Update Date:2012-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD50362086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI01646601Medicaid
HIMD5036OtherQHCP
HI17622OtherHMSA
HI01646601Medicaid
HI0000BDKWWMedicare ID - Type Unspecified