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General NPI Number Information
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NPI Number | 1922893346
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Entity Type | Organization
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Legal Business Name | RESTORED MEDICAL LLC
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Dates
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Enumeration Date | 04/14/2025
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Last Update Date | 11/21/2025
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Provider Practice Location Address
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Address Line | 405 N KUAKINI ST STE 1107
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City | HONOLULU
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State | HI
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Zip | 96817-6301
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Country | US
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Telephone | 808-850-1892
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Fax | 808-490-0654
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Provider Business Mailing Address
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Address Line | 405 N KUAKINI ST STE 1107
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City | HONOLULU
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State | HI
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Zip | 96817-6301
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Country | US
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Telephone | 808-850-1892
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Fax | 833-764-4810
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Authorized Official
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Title or Position | OWNER AND MANAGING MEMBER
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Name | DR. DELARAM JASMINE TAGHIPOUR
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Credential | MD, MPH, MBA
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Telephone | 301-928-9193
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery 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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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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 | 202K00000X
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Taxonomy Name | Phlebology Physician
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License Number |
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License Number State |
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