Provider Demographics
NPI:1821099144
Name:HAWAII CARDIOLOGY, INC
Entity Type:Organization
Organization Name:HAWAII CARDIOLOGY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NEAL
Authorized Official - Middle Name:J
Authorized Official - Last Name:SHIKUMA
Authorized Official - Suffix:
Authorized Official - Credentials:MD, FACC
Authorized Official - Phone:808-887-6410
Mailing Address - Street 1:1425 LILIHA ST
Mailing Address - Street 2:SUITE 12
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-3522
Mailing Address - Country:US
Mailing Address - Phone:808-540-1530
Mailing Address - Fax:808-356-0424
Practice Address - Street 1:65-1230 MAMALAHOA HWY
Practice Address - Street 2:SUITE D10
Practice Address - City:KAMUELA
Practice Address - State:HI
Practice Address - Zip Code:96743-8318
Practice Address - Country:US
Practice Address - Phone:808-887-6410
Practice Address - Fax:808-356-0424
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-09
Last Update Date:2015-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-4389207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI00T0011522OtherHMSA
HIDA8723OtherRR MEDICARE
HI00Q0011521OtherHMSA
HI01103203Medicaid
HI00R0011529OtherHMSA
HI00T0011522OtherBLUE CROSS/BLUE SHIELD
HI00Q0011521OtherBLUE CROSS/BLUE SHIELD
HI01103201Medicaid
HI00R0011529OtherBLUE CROSS/BLUE SHIELD
HI01103207Medicaid
HIH52320Medicare PIN