Healthcare Provider Details

I. General information

NPI: 1982780128
Provider Name (Legal Business Name): MICHAEL BRUCE ZAFRANI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/31/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

98 1247 KAAHUMANU STREET SUITE 312A
AICA HI
96701
US

IV. Provider business mailing address

98 1247 KAAHUMANU STREET SUITE 312A
AICA HI
96701
US

V. Phone/Fax

Practice location:
  • Phone: 808-488-7888
  • Fax: 808-488-1631
Mailing address:
  • Phone: 808-488-7888
  • Fax: 808-488-1631

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD5698
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: