Healthcare Provider Details

I. General information

NPI: 1346378130
Provider Name (Legal Business Name): SHARI ANN T OSHIRO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/01/2007
Last Update Date: 05/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

226 N KUAKINI ST STE 160 SUITE 160
HONOLULU HI
96817-2421
US

IV. Provider business mailing address

1585 KAPIOLANI BLVD SUITE 1800
HONOLULU HI
96814-4522
US

V. Phone/Fax

Practice location:
  • Phone: 808-566-3458
  • Fax: 808-535-1572
Mailing address:
  • Phone: 808-941-3363
  • Fax: 808-949-0483

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License NumberMD-13890
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: