Healthcare Provider Details

I. General information

NPI: 1851961007
Provider Name (Legal Business Name): JENNIFER M TAMAI MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2021
Last Update Date: 02/06/2024
Certification Date: 02/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

321 N KUAKINI ST STE 714
HONOLULU HI
96817-2362
US

IV. Provider business mailing address

321 N KUAKINI ST STE 714
HONOLULU HI
96817-2362
US

V. Phone/Fax

Practice location:
  • Phone: 808-528-3606
  • Fax: 808-538-7850
Mailing address:
  • Phone: 808-528-3606
  • Fax: 808-538-7850

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER MARIE TAMAI
Title or Position: PRESIDENT
Credential: MD
Phone: 808-528-3606