Maximilian Bazil, MD

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Hilo, HI

NPI 1508701160 · NPPES record last updated Apr 21, 2026

Key facts

NPI
1508701160
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
45 Mohouli St Ste 203
Hilo, HI 96720-7210
Phone
(516) 225-7821
NPI assigned
Apr 21, 2026
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X HI Yes

Addresses

Primary practice location

45 Mohouli St Ste 203
Hilo, HI 96720-7210

Mailing address

45 Mohouli St Ste 203
Hilo, HI 96720-7210
Phone (516) 225-7821

Other providers in Hilo, HI

All providers in Hilo, HI · Student in an Organized Health Care Education/Training Program in Hawaii

Sources for this page

Verify at the official NPI Registry.