Healthcare Provider Details

I. General information

NPI: 1598414203
Provider Name (Legal Business Name): ANDREW KEN STRIDIRON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/21/2022
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

615 PIIKOI ST STE 1501
HONOLULU HI
96814-3142
US

IV. Provider business mailing address

615 PIIKOI ST STE 1501
HONOLULU HI
96814-3142
US

V. Phone/Fax

Practice location:
  • Phone: 808-600-2180
  • Fax: 808-600-2199
Mailing address:
  • Phone: 808-600-2180
  • Fax: 808-600-2199

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number25507
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: