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General NPI Number Information
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NPI Number | 1386901148
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Entity Type | Organization
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Legal Business Name | CELESTE ADRIAN M.D., LLC
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Dates
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Enumeration Date | 04/18/2012
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Last Update Date | 04/18/2012
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Provider Practice Location Address
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Address Line | 30 N CHURCH ST STE 300
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City | WAILUKU
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State | HI
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Zip | 96793-1600
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Country | US
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Telephone | 808-242-9787
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Fax | 808-242-4518
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Provider Business Mailing Address
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Address Line | 30 N CHURCH ST STE 300
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City | WAILUKU
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State | HI
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Zip | 96793-1600
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Country | US
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Telephone | 808-242-9787
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Fax | 808-242-4518
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. CELESTE SUZANNE ADRIAN
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Credential | M.D.
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Telephone | 808-242-9787
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | MD-16155
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License Number State | HI
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