Provider Demographics
NPI:1497128755
Name:DAVID H. FRIAR, M.D., LLC
Entity type:Organization
Organization Name:DAVID H. FRIAR, M.D., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LLC MEMBER-MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:HAROLD
Authorized Official - Last Name:FRIAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-394-8151
Mailing Address - Street 1:377 KEAHOLE ST
Mailing Address - Street 2:E-210
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96825-3405
Mailing Address - Country:US
Mailing Address - Phone:808-394-8151
Mailing Address - Fax:808-396-3070
Practice Address - Street 1:377 KEAHOLE ST
Practice Address - Street 2:E-210
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96825-3405
Practice Address - Country:US
Practice Address - Phone:808-394-8151
Practice Address - Fax:808-396-3070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-09
Last Update Date:2015-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI84942084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIF76686Medicare UPIN