Healthcare Provider Details

I. General information

NPI: 1215268362
Provider Name (Legal Business Name): ALAN PARSA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/28/2010
Last Update Date: 11/26/2024
Certification Date: 11/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

405 N KUAKINI ST STE 601
HONOLULU HI
96817-6302
US

IV. Provider business mailing address

405 N KUAKINI ST STE 601
HONOLULU HI
96817-6302
US

V. Phone/Fax

Practice location:
  • Phone: 808-526-0303
  • Fax: 808-536-8836
Mailing address:
  • Phone: 808-526-0303
  • Fax: 808-536-8836

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number14910
License Number StateHI
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number255926
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberA111967
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number255926
License Number StateNY
# 5
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number14910
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: