Healthcare Provider Details

I. General information

NPI: 1124132527
Provider Name (Legal Business Name): MICHELLE ROSS-KING M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2230 LILIHA ST
HONOLULU HI
96817-1646
US

IV. Provider business mailing address

1585 KAPIOLANI BLVD SUITE 1800
HONOLULU HI
96814-4522
US

V. Phone/Fax

Practice location:
  • Phone: 808-941-3363
  • Fax: 808-949-0483
Mailing address:
  • Phone: 800-894-1336
  • Fax: 808-949-0483

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberMD13960
License Number StateHI
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberMD13960
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: