Provider Demographics
NPI:1821292327
Name:MAGNUSSON, ARNAR ROY (MD)
Entity Type:Individual
Prefix:
First Name:ARNAR
Middle Name:ROY
Last Name:MAGNUSSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:677 ALA MOANA BLVD
Mailing Address - Street 2:SUITE 1001
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-5408
Mailing Address - Country:US
Mailing Address - Phone:808-469-4900
Mailing Address - Fax:808-587-9507
Practice Address - Street 1:677 ALA MOANA BLVD
Practice Address - Street 2:SUITE 1001
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-5408
Practice Address - Country:US
Practice Address - Phone:808-469-4900
Practice Address - Fax:808-587-9507
Is Sole Proprietor?:No
Enumeration Date:2007-06-11
Last Update Date:2016-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-16041207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
A02366Medicare UPIN