Healthcare Provider Details

I. General information

NPI: 1942175989
Provider Name (Legal Business Name): MUHAMMAD TALHA QUADRI MSW, LSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/08/2025
Last Update Date: 10/08/2025
Certification Date: 10/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

197 SAND ISLAND ACCESS RD STE 201D
HONOLULU HI
96819-4901
US

IV. Provider business mailing address

94-650 PUHAU WAY 94-650 PUHAU WAY
WAIPAHU HI
96797-1252
US

V. Phone/Fax

Practice location:
  • Phone: 808-533-3936
  • Fax:
Mailing address:
  • Phone: 808-202-1227
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLSW-2773
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: