Provider Demographics
NPI:1831121649
Name:TURBAN, JOSEPH W (MD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:W
Last Name:TURBAN
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 1:1130 N NIMITZ HWY RM C302
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-6501
Mailing Address - Country:US
Mailing Address - Phone:808-538-0704
Mailing Address - Fax:808-538-0474
Practice Address - Street 1:1130 N NIMITZ HWY RM C302
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-6501
Practice Address - Country:US
Practice Address - Phone:808-538-0704
Practice Address - Fax:808-538-0474
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2016-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD10122207P00000X, 2084A0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIA026OtherCHAMPUS
HI00C0221733OtherBCBS
HIA014OtherCHAMPUS
HI08828506Medicaid
HI08828507Medicaid
HI00D0221731OtherBCBS
HI08828506Medicaid
HI00D0221731OtherBCBS