Provider Demographics
NPI:1790127371
Name:MICHAEL PI, M.D. LLC
Entity Type:Organization
Organization Name:MICHAEL PI, M.D. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:PI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-247-1294
Mailing Address - Street 1:PO BOX 656
Mailing Address - Street 2:
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-0656
Mailing Address - Country:US
Mailing Address - Phone:808-247-1294
Mailing Address - Fax:808-235-6280
Practice Address - Street 1:500 ALA MOANA BLVD
Practice Address - Street 2:TOWER 1 SUITE 1-B
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-4920
Practice Address - Country:US
Practice Address - Phone:808-247-1294
Practice Address - Fax:808-235-6280
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-23
Last Update Date:2013-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD9055174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIA20132-5OtherHMSA