Provider Demographics
NPI:1447358510
Name:WILLIAMS, STEVEN ROBERT (MD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:ROBERT
Last Name:WILLIAMS
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 1:1380 LUSITANA ST STE 511
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-2441
Mailing Address - Country:US
Mailing Address - Phone:808-537-3433
Mailing Address - Fax:808-531-8884
Practice Address - Street 1:1380 LUSITANA ST
Practice Address - Street 2:STE 511
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-2441
Practice Address - Country:US
Practice Address - Phone:808-537-3433
Practice Address - Fax:808-531-8884
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI02734503Medicaid
HIE45253Medicare UPIN
HI02734503Medicaid