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General NPI Number Information
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NPI Number | 1205494382
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Entity Type | Individual
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Provider Name | MELISSA ANN MAHAJAN MD
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Gender | Female
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Dates
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Enumeration Date | 06/03/2019
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Last Update Date | 09/13/2024
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Provider Practice Location Address
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Address Line | 347 N KUAKINI ST
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City | HONOLULU
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State | HI
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Zip | 96817-2381
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Country | US
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Telephone | 808-536-2236
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 240121
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City | HONOLULU
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State | HI
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Zip | 96824-0121
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Country | US
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Telephone | 808-210-4380
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Fax | 808-830-2972
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 24019
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License Number State | HI
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