Provider Demographics
NPI:1821009291
Name:SURGICAL EDUCATION INC
Entity Type:Organization
Organization Name:SURGICAL EDUCATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACTING PTESIDENT SURGICAL EDUCATION
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:H
Authorized Official - Last Name:OISHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-536-5811
Mailing Address - Street 1:405 N KUAKINI ST
Mailing Address - Street 2:STE 601
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817
Mailing Address - Country:US
Mailing Address - Phone:808-440-1093
Mailing Address - Fax:808-440-2252
Practice Address - Street 1:405 N KUAKINI ST
Practice Address - Street 2:STE 401
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817
Practice Address - Country:US
Practice Address - Phone:808-526-5811
Practice Address - Fax:808-596-0370
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI6937208600000X
HI9040208600000X
HI9345208600000X
HI1305208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty