Provider Demographics
NPI:1003794520
Name:CARVALHO, STEVEN LOUIS
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:LOUIS
Last Name:CARVALHO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75-5708 ALAHOU ST
Mailing Address - Street 2:
Mailing Address - City:KAILUA KONA
Mailing Address - State:HI
Mailing Address - Zip Code:96740-1853
Mailing Address - Country:US
Mailing Address - Phone:808-464-4003
Mailing Address - Fax:800-464-4288
Practice Address - Street 1:75-5708 ALAHOU ST
Practice Address - Street 2:
Practice Address - City:KAILUA KONA
Practice Address - State:HI
Practice Address - Zip Code:96740-1853
Practice Address - Country:US
Practice Address - Phone:808-464-4003
Practice Address - Fax:800-464-4288
Is Sole Proprietor?:No
Enumeration Date:2025-08-22
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver