Provider Demographics
NPI:1912240821
Name:DAVIS, SARA FISCHLOWITZ (MD)
Entity type:Individual
Prefix:DR
First Name:SARA
Middle Name:FISCHLOWITZ
Last Name:DAVIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SARA
Other - Middle Name:
Other - Last Name:FISCHLOWITZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1245 KUALA ST
Mailing Address - Street 2:STE 103
Mailing Address - City:PEARL CITY
Mailing Address - State:HI
Mailing Address - Zip Code:96782-3900
Mailing Address - Country:US
Mailing Address - Phone:808-784-2273
Mailing Address - Fax:808-784-2274
Practice Address - Street 1:1245 KUALA ST
Practice Address - Street 2:SUITE 103
Practice Address - City:PEARL CITY
Practice Address - State:HI
Practice Address - Zip Code:96782-3900
Practice Address - Country:US
Practice Address - Phone:808-784-2273
Practice Address - Fax:808-784-2274
Is Sole Proprietor?:No
Enumeration Date:2013-03-28
Last Update Date:2017-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-18908207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine