Healthcare Provider Details

I. General information

NPI: 1598024077
Provider Name (Legal Business Name): NEDA NIKPOOR M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2012
Last Update Date: 12/30/2025
Certification Date: 12/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

615 PIIKOI ST STE 205
HONOLULU HI
96814-3139
US

IV. Provider business mailing address

PO BOX 31000
HONOLULU HI
96849-5684
US

V. Phone/Fax

Practice location:
  • Phone: 808-591-9911
  • Fax: 808-591-9909
Mailing address:
  • Phone: 808-677-7727
  • Fax: 808-697-5488

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberMD-20724
License Number StateHI
# 2
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberA150093
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberME127565
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: