Healthcare Provider Details

I. General information

NPI: 1922206994
Provider Name (Legal Business Name): ANDRAS BRATINCSAK M.D., PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2007
Last Update Date: 07/10/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1319 PUNAHOU ST
HONOLULU HI
96826-1001
US

IV. Provider business mailing address

1684 ALA MOANA BLVD
HONOLULU HI
96815-1425
US

V. Phone/Fax

Practice location:
  • Phone: 808-983-6000
  • Fax:
Mailing address:
  • Phone: 202-213-2179
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number94888
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: