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General NPI Number Information
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NPI Number | 1184827420
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Entity Type | Organization
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Legal Business Name | DANIEL C.H. KIDANI M.D. LLC
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Dates
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Enumeration Date | 06/06/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4424 KILAUEA AVE HONOLULU
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City | HONOLULU
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State | HI
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Zip | 96816-5115
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Country | US
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Telephone | 808-497-3639
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Fax |
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Provider Business Mailing Address
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Address Line | 3825 W GARDEN GROVE BLVD APT. #38
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City | ORANGE
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State | CA
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Zip | 92868-4855
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Country | US
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Telephone | 808-497-3639
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. DANIEL CURTIS HIROMI KIDANI
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Credential | M.D.
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Telephone | 808-497-3639
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 14137
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License Number State | HI
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