Provider Demographics
NPI:1821166489
Name:CARDIOTHORACIC ASSOCIATES OF HAWAII LLC
Entity Type:Organization
Organization Name:CARDIOTHORACIC ASSOCIATES OF HAWAII LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:WAH
Authorized Official - Last Name:LOUIE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-531-3311
Mailing Address - Street 1:642 ULUKAHIKI ST STE 205
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-4418
Mailing Address - Country:US
Mailing Address - Phone:808-531-3311
Mailing Address - Fax:808-531-3311
Practice Address - Street 1:642 ULUKAHIKI ST STE 205
Practice Address - Street 2:
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-4418
Practice Address - Country:US
Practice Address - Phone:808-531-3311
Practice Address - Fax:808-531-3311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-01
Last Update Date:2022-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
211235OtherJEFFREY D LEE MD HIMSA
561081531OtherHENRY LOUIE MD ALOHACARE
40428OtherCOLLIN DANG MD HIMSA
248716OtherHENRY LOUIE MD HIMSA
561081531OtherHENRY LOUIE MD ALOHACARE
561081531OtherHENRY LOUIE MD ALOHACARE
E33003Medicare UPIN
211235OtherJEFFREY D LEE MD HIMSA
248716OtherHENRY LOUIE MD HIMSA
40428OtherCOLLIN DANG MD HIMSA
55064Medicare ID - Type UnspecifiedJEFFREY D LEE MD
H56741Medicare ID - Type UnspecifiedHENRY LOUIE MD