Healthcare Provider Details

I. General information

NPI: 1508502626
Provider Name (Legal Business Name): ASHLEY OSUMI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2022
Last Update Date: 07/11/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1319 PUNAHOU ST
HONOLULU HI
96826-1028
US

IV. Provider business mailing address

3463 PINAO PL
HONOLULU HI
96822-1357
US

V. Phone/Fax

Practice location:
  • Phone: 808-779-0064
  • Fax:
Mailing address:
  • Phone: 808-779-0064
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberMD-26857-0
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: