Healthcare Provider Details

I. General information

NPI: 1962917823
Provider Name (Legal Business Name): PUKAHI CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2017
Last Update Date: 12/13/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3801 ANUHEA ST
HONOLULU HI
96816-3803
US

IV. Provider business mailing address

3801 ANUHEA ST
HONOLULU HI
96816-3803
US

V. Phone/Fax

Practice location:
  • Phone: 808-255-4667
  • Fax:
Mailing address:
  • Phone: 808-255-4667
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number1171
License Number StateHI

VIII. Authorized Official

Name: MR. HIRAM KAHANA PUKAHI
Title or Position: OWNER/ACUPUNCTURIST
Credential: MAOM, L.AC.
Phone: 808-255-4667