Healthcare Provider Details

I. General information

NPI: 1538786744
Provider Name (Legal Business Name): SHARON OHARA, M.D., A PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2020
Last Update Date: 07/13/2020
Certification Date: 07/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 UNIVERSITY AVE APT 2005
HONOLULU HI
96826-4941
US

IV. Provider business mailing address

500 UNIVERSITY AVE APT 2005
HONOLULU HI
96826-4941
US

V. Phone/Fax

Practice location:
  • Phone: 808-941-2851
  • Fax:
Mailing address:
  • Phone: 808-941-2851
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. SHARON OHARA
Title or Position: PRESIDENT
Credential: MD
Phone: 808-941-2851