DISU HAWAII INC NPI 1295423119

NPI Information

  • NPI: 1295423119
  • Provider Name: DISU HAWAII INC
  • Classification: Surgery - 2086S0122X
  • Specialization: Plastic and Reconstructive Surgery
  • Entity Type: Organization
  • Doing Business As: ATHENA CLINIC
  • Address: 1319 PUNAHOU ST STE 1070
    HONOLULU, HI
    ZIP 96826
  • Phone: (808) 944-8551

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NPI Details

DISU HAWAII INC is a plastic and reconstructive surgery surgery in Honolulu, HI. The provider is a surgeon who specializes in plastic and reconstructive surgery. DISU HAWAII INC NPI is 1295423119. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Athena Clinic.

The provider's business location address is:

1319 PUNAHOU ST STE 1070
HONOLULU, HI
ZIP 96826-081
Phone: (808) 944-8551

The provider's authorized official is Dianne Hom .
The authorized official title is Credentialing and has the following contact phone number (808) 282-9676.

The enumeration date for this NPI number is 4/27/2023 and was last updated on 5/2/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0122XSurgeryPlastic and Reconstructive SurgeryYes

What is NPI?

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This page was last updated on: 11/21/2025

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