Healthcare Provider Details

I. General information

NPI: 1134232085
Provider Name (Legal Business Name): KRISTI ADACHI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/16/2006
Last Update Date: 08/11/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1380 LUSITANA ST STE 502
HONOLULU HI
96813-2441
US

IV. Provider business mailing address

1380 LUSITANA ST SUITE 502
HONOLULU HI
96813-2449
US

V. Phone/Fax

Practice location:
  • Phone: 808-533-0711
  • Fax: 808-538-6763
Mailing address:
  • Phone: 808-533-0711
  • Fax: 808-538-6763

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number9165
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: