Individual
ERROL T BUNTUYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 MAUI LANI PKWY, WAILUKU, HI 96793-2416
(808) 243-6050
Mailing address
55 MAUI LANI PKWY, WAILUKU, HI 96793-2416
(808) 243-6050
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
038503
CT
207Q00000X
Family Medicine Physician
Primary
MD-14515
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000270777
HMSA BILLING NUMBER
HI
05
—
001385039
—
CT
05
—
612772-02
—
HI
Enumeration date
08/23/2005
Last updated
06/28/2023
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