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NPI 1225698350

NPI 1225698350 : OHANA HEART LLC : WAILUKU, HI

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General NPI Number Information
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    NPI Number           |    1225698350
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    Entity Type          |    Organization 
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    Legal Business Name  |    OHANA HEART LLC 
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Dates
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    Enumeration Date     |    06/20/2019
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    Last Update Date     |    07/21/2025
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Provider Practice Location Address
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    Address Line         |    85 MAUI LANI PKWY 
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    City                 |    WAILUKU
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    State                |    HI
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    Zip                  |    96793-2416
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    Country              |    US
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    Telephone            |    530-241-1473
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    Fax                  |    530-229-3703
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Provider Business Mailing Address
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    Address Line         |    85 MAUI LANI PKWY 
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    City                 |    WAILUKU
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    State                |    HI
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    Zip                  |    96793-2416
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    Country              |    US
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    Telephone            |    855-464-3278
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    Fax                  |    808-468-4847
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Authorized Official
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    Title or Position    |    CEO, PHYSICIAN
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    Name                 |     ANIL HARESH PUNJABI 
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    Credential           |    MD/MBA
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    Telephone            |    215-882-2000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207RA0001X
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    Taxonomy Name        |    Advanced Heart Failure and Transplant Cardiology Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    207W00000X
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    Taxonomy Name        |    Ophthalmology Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    207RC0000X
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    Taxonomy Name        |    Cardiovascular Disease Physician
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    License Number       |    
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    License Number State |    
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