Individual
TRAVIS WATAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1301 PUNCHBOWL ST, HONOLULU, HI 96813
(808) 691-7657
Mailing address
1301 PUNCHBOWL ST, HONOLULU, HI 96813-2499
(808) 691-7657
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
18279
HI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18279
STATE LICENSE
HI
Enumeration date
05/30/2012
Last updated
07/10/2018
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