Organization
REJUVENATE HAWAII
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANNON L BIANCHI MD (MANAGER, ANESTHESIOLOGIST EMPLOYEE)
(808) 765-0378
Entity
Organization
Contact information
Practice address
82 PUUHONU PL STE 100, HILO, HI 96720-2010
(808) 969-9669
Mailing address
PO BOX 260, KURTISTOWN, HI 96760-0260
(808) 346-1854
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
261QP3300X
Pain Clinic/Center
—
—
Other
Enumeration date
04/09/2025
Last updated
06/03/2025
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