Provider Demographics
NPI:1972582781
Name:HAWK, ALAN B (MD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:B
Last Name:HAWK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2115 HAENA DR
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96822-2142
Mailing Address - Country:US
Mailing Address - Phone:808-947-7323
Mailing Address - Fax:
Practice Address - Street 1:1710 E WEST RD
Practice Address - Street 2:UNIVERSITY OF HAWAII AT MANOA
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96822-2317
Practice Address - Country:US
Practice Address - Phone:808-956-8965
Practice Address - Fax:808-956-0853
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
HI023982084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
D36140Medicare UPIN