Provider Demographics
NPI:1700972544
Name:HEW, DENISE W L (MD)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:W L
Last Name:HEW
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1380 LUSITANA ST
Mailing Address - Street 2:905
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-2448
Mailing Address - Country:US
Mailing Address - Phone:808-536-3700
Mailing Address - Fax:808-536-6001
Practice Address - Street 1:1380 LUSITANA ST
Practice Address - Street 2:905
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-2448
Practice Address - Country:US
Practice Address - Phone:808-536-3700
Practice Address - Fax:808-536-6001
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2009-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD11111174400000X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI0235507OtherHMSA PROVIDER NUMBER
HI00A0235505OtherHMSA PROVIDER NUMBER
HI0235507OtherHMSA PROVIDER NUMBER
HIH54595Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER
HIH62540Medicare UPIN