Healthcare Provider Details

I. General information

NPI: 1669396420
Provider Name (Legal Business Name): RAJINDER RAJU
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 DILLINGHAM BLVD STE 317
HONOLULU HI
96817-4551
US

IV. Provider business mailing address

1001 DILLINGHAM BLVD STE 317
HONOLULU HI
96817-4551
US

V. Phone/Fax

Practice location:
  • Phone: 808-207-8558
  • Fax: 808-809-8585
Mailing address:
  • Phone: 808-207-8558
  • Fax: 808-809-8585

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License NumberLPN-18774
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: