Healthcare Provider Details

I. General information

NPI: 1649633892
Provider Name (Legal Business Name): KRISTIN T OSHIRO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/04/2016
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1319 PUNAHOU ST STE 950
HONOLULU HI
96826-1088
US

IV. Provider business mailing address

1319 PUNAHOU ST STE 950
HONOLULU HI
96826-1088
US

V. Phone/Fax

Practice location:
  • Phone: 808-983-8933
  • Fax: 808-983-9770
Mailing address:
  • Phone: 808-983-8933
  • Fax: 808-983-9770

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License Number24371
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: