Basic Information
| Provider Information | |||||||||
| NPI: | 1013267301 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | GAAS, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4354 PAHOA AVENUE | ||||||||
| Address2: | #10803 | ||||||||
| City: | HONOLULU | ||||||||
| State: | HI | ||||||||
| PostalCode: | 968168426 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8087359093 | ||||||||
| FaxNumber: | 8087326647 | ||||||||
| Practice Location | |||||||||
| Address1: | 4354 PAHOA AVENUE | ||||||||
| Address2: | #10803 | ||||||||
| City: | HONOLULU | ||||||||
| State: | HI | ||||||||
| PostalCode: | 968168426 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8087359093 | ||||||||
| FaxNumber: | 8087326647 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/13/2012 | ||||||||
| LastUpdateDate: | 09/13/2012 | ||||||||
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| AuthorizedOfficialLastName: | AKIONA | ||||||||
| AuthorizedOfficialFirstName: | GLENN | ||||||||
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| AuthorizedOfficialTitleorPosition: | ORGANIZER | ||||||||
| AuthorizedOfficialTelephone: | 8083846678 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.