Provider Demographics
NPI:1821847070
Name:JANIK, DANIEL SCOTT (MD)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:SCOTT
Last Name:JANIK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2630 KAPIOLANI BLVD APT 1601
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96826-4806
Mailing Address - Country:US
Mailing Address - Phone:808-551-7529
Mailing Address - Fax:
Practice Address - Street 1:2630 KAPIOLANI BLVD APT 1601
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96826-4806
Practice Address - Country:US
Practice Address - Phone:808-551-7529
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-17
Last Update Date:2024-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-62922083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine