Provider Demographics
NPI:1184499782
Name:DOUGLAS L SMITH MD
Entity type:Organization
Organization Name:DOUGLAS L SMITH MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:L
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-599-3922
Mailing Address - Street 1:1188 BISHOP STREET
Mailing Address - Street 2:SUITE 3007
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-3321
Mailing Address - Country:US
Mailing Address - Phone:808-599-3922
Mailing Address - Fax:808-599-8612
Practice Address - Street 1:1188 BISHOP STREET
Practice Address - Street 2:SUITE 3007
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-3321
Practice Address - Country:US
Practice Address - Phone:808-599-3922
Practice Address - Fax:808-599-8612
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-24
Last Update Date:2023-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty