Provider Demographics
NPI:1407068042
Name:MAGALHAES, CARLOS (DO)
Entity type:Individual
Prefix:
First Name:CARLOS
Middle Name:
Last Name:MAGALHAES
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:459 PATTERSON RD
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96819-1522
Mailing Address - Country:US
Mailing Address - Phone:800-214-1306
Mailing Address - Fax:808-433-0399
Practice Address - Street 1:DANIEL AKAKA OUTPATIENT CLINIC
Practice Address - Street 2:91-1051 FRANKLIN D. ROOSEVELT AVENUE
Practice Address - City:KAPOLEI
Practice Address - State:HI
Practice Address - Zip Code:96707
Practice Address - Country:US
Practice Address - Phone:808-458-5065
Practice Address - Fax:808-461-6919
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2025-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDOS-2052207Q00000X
NY227578207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1407068042OtherNPI NUMBER
NYI01284Medicare UPIN
NYI01284Medicare UPIN
NY0279P05883Medicare PIN