Provider Demographics
NPI:1255515797
Name:STEPHEN M HIRASUNA MD INC
Entity type:Organization
Organization Name:STEPHEN M HIRASUNA MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:HIRASUNA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-521-4703
Mailing Address - Street 1:321 N KUAKINI ST
Mailing Address - Street 2:STE 403
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-2309
Mailing Address - Country:US
Mailing Address - Phone:808-521-4703
Mailing Address - Fax:
Practice Address - Street 1:321 N KUAKINI ST
Practice Address - Street 2:STE 403
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-2309
Practice Address - Country:US
Practice Address - Phone:808-521-4703
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-19
Last Update Date:2007-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI3562207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIC98457Medicare UPIN