Provider Demographics
NPI:1669705828
Name:LOIS SARUWATARI, M.D., LLC
Entity type:Organization
Organization Name:LOIS SARUWATARI, M.D., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:LOIS
Authorized Official - Middle Name:
Authorized Official - Last Name:SARUWATARI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-535-1555
Mailing Address - Street 1:1003 BISHOP ST
Mailing Address - Street 2:SUITE 395
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-6400
Mailing Address - Country:US
Mailing Address - Phone:808-535-1555
Mailing Address - Fax:
Practice Address - Street 1:1003 BISHOP ST
Practice Address - Street 2:SUITE 395
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-6400
Practice Address - Country:US
Practice Address - Phone:808-535-1555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-04
Last Update Date:2013-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD7521207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty