Provider Demographics
NPI:1811570237
Name:HISIS
Entity Type:Organization
Organization Name:HISIS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:BATTANI
Authorized Official - Suffix:
Authorized Official - Credentials:MPH
Authorized Official - Phone:808-381-8569
Mailing Address - Street 1:1481 S KING ST STE 422
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-2600
Mailing Address - Country:US
Mailing Address - Phone:808-381-8569
Mailing Address - Fax:
Practice Address - Street 1:1481 S KING ST STE 422
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-2600
Practice Address - Country:US
Practice Address - Phone:808-381-8569
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-03
Last Update Date:2021-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIEL-46OtherSTATE OF HAWAII