Healthcare Provider Details

I. General information

NPI: 1386934495
Provider Name (Legal Business Name): CHRISTINA KOO SPEIRS MD PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2011
Last Update Date: 06/17/2025
Certification Date: 06/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2226 LILIHA ST B2
HONOLULU HI
96817-1600
US

IV. Provider business mailing address

2226 LILIHA ST STE 300
HONOLULU HI
96817-1605
US

V. Phone/Fax

Practice location:
  • Phone: 808-547-6881
  • Fax: 808-547-6583
Mailing address:
  • Phone: 808-744-6187
  • Fax: 808-744-6958

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number18300
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: