Healthcare Provider Details

I. General information

NPI: 1407271521
Provider Name (Legal Business Name): DELARAM JASMINE TAGHIPOUR MD, MPH, MBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/26/2014
Last Update Date: 08/18/2025
Certification Date: 08/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

405 N KUAKINI ST STE 1107
HONOLULU HI
96817-6301
US

IV. Provider business mailing address

405 N KUAKINI ST STE 1107
HONOLULU HI
96817-6301
US

V. Phone/Fax

Practice location:
  • Phone: 808-850-1892
  • Fax: 808-490-0654
Mailing address:
  • Phone: 808-850-1892
  • Fax: 808-490-0654

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License NumberMD-22106
License Number StateHI
# 2
Primary TaxonomyY
Taxonomy Code202K00000X
TaxonomyPhlebology Physician
License NumberMD-22106
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: