Provider Demographics
NPI:1730123365
Name:KAIWI, PAUL ADAM JR (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:ADAM
Last Name:KAIWI
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:444 HANA HWY
Mailing Address - Street 2:STE 201
Mailing Address - City:KAHULUI
Mailing Address - State:HI
Mailing Address - Zip Code:96732-2315
Mailing Address - Country:US
Mailing Address - Phone:808-877-6333
Mailing Address - Fax:808-877-7100
Practice Address - Street 1:1501 UAKEA RD.
Practice Address - Street 2:
Practice Address - City:HANA
Practice Address - State:HI
Practice Address - Zip Code:96713
Practice Address - Country:US
Practice Address - Phone:808-248-7557
Practice Address - Fax:808-248-7836
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-15
Last Update Date:2016-05-10
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Provider Licenses
StateLicense IDTaxonomies
HIMD13020208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI100761Medicare ID - Type Unspecified
HI145447Medicare UPIN