Individual
DR. AUDIE ASISTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
91-2141 FORT WEAVER RD, EWA BEACH, HI 96706-1993
(808) 678-7400
Mailing address
PO BOX 700309, KAPOLEI, HI 96709-0309
(808) 203-7943
(808) 693-8060
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD11318
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00B0227328
HMSA BC BS
HI
05
—
49608501
—
HI
Enumeration date
07/09/2005
Last updated
10/20/2021
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