# INSULINIC HAWAII

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- **Entity:** Organization
- **Status:** Active
- **Other names:** INSULINIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669102612
- **Authorized official:** MARC PIERRE DESGRAVES (CEO)
- **Authorized official phone:** (808) 210-4444

## Contact information

- **Practice address:** 1360 S BERETANIA ST, HONOLULU, HI 96814-1520
- **Practice address phone:** (808) 543-6438
- **Mailing address:** 1360 S BERETANIA ST STE 500, HONOLULU, HI 96814-1520
- **Mailing address phone:** (808) 210-4444
- **Mailing address fax:** (808) 210-5505

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | — |
| 261QI0500X | Infusion Therapy Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 06/13/2022
- **Last updated:** 06/28/2023