1548336183 NPI number — HAWAII ANESTHESIA GROUP INC

Table of content: MR. ANUJ DINESH MAHAJAN M.D. (NPI 1912134644)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1548336183 NPI number — HAWAII ANESTHESIA GROUP INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HAWAII ANESTHESIA GROUP INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1548336183
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1575 SOUTH BERETANIA STREET
Provider Second Line Business Mailing Address:
#201 & 202
Provider Business Mailing Address City Name:
HONOLULU
Provider Business Mailing Address State Name:
HI
Provider Business Mailing Address Postal Code:
96826-1149
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
808-946-1712
Provider Business Mailing Address Fax Number:
808-946-1728

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1575 SOUTH BERETANIA STREET
Provider Second Line Business Practice Location Address:
#201 & 202
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96826-1149
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-946-1712
Provider Business Practice Location Address Fax Number:
808-946-1728
Provider Enumeration Date:
11/27/2006

Additional Information

Authorized Official

Authorized Official Last Name:
AUNG
Authorized Official First Name:
CHARLES
Authorized Official Middle Name:
Authorized Official Title or Position:
BUSINESS MANAGER
Authorized Official Telephone Number:
808-946-1712

Provider Taxonomy Codes

  • Taxonomy code: 207L00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 04186501 , issued by the state of ( HI ) . This identifiers is of the category "MEDICAID".




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