Healthcare Provider Details

I. General information

NPI: 1497963367
Provider Name (Legal Business Name): MINORU ADACHI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2155 KALAKAUA AVE SUITE 308
HONOLULU HI
96815-2351
US

IV. Provider business mailing address

300 WAI NANI WAY PH04
HONOLULU HI
96815-3983
US

V. Phone/Fax

Practice location:
  • Phone: 808-924-3399
  • Fax:
Mailing address:
  • Phone: 808-923-5890
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number12072
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: