Provider Demographics
NPI:1942245899
Name:SARUWATARI, LOIS (MD)
Entity type:Individual
Prefix:
First Name:LOIS
Middle Name:
Last Name:SARUWATARI
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 1:1001 BISHOP ST
Mailing Address - Street 2:PAUAHI TOWER SUITE 395
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-3429
Mailing Address - Country:US
Mailing Address - Phone:808-535-1555
Mailing Address - Fax:808-548-5511
Practice Address - Street 1:1001 BISHOP ST
Practice Address - Street 2:PAUAHI TOWER SUITE 395
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-3429
Practice Address - Country:US
Practice Address - Phone:808-535-1555
Practice Address - Fax:808-548-5511
Is Sole Proprietor?:No
Enumeration Date:2006-06-17
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-7521207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIF06350Medicare UPIN