Individual
SAMUEL J EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2230 LILIHA ST, CRITICAL CARE DEPT., HONOLULU, HI 96817-1646
(808) 342-6222
(808) 949-0483
Mailing address
1585 KAPIOLANI BLVD, SUITE 1800, HONOLULU, HI 96814-4522
(808) 941-3363
(808) 949-0483
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD10768
HI
207RP1001X
Pulmonary Disease Physician
Primary
MD10768
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50506805
—
HI
05
—
50506806
—
HI
05
—
50506807
—
HI
Enumeration date
06/06/2006
Last updated
02/26/2016
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