MEDICARE: NOEL KE-OLA AKBAR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1154278307
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NOEL KE-OLA AKBAR

Provider Business Mailing Address
First Line	:	1984 10TH AVE
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96816-2910
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1025 WAIMANU ST APT 103
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96814-3427
Country	:	US
Telephone Number	:	808-797-5043
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/16/2026
Last Update Date	:	03/16/2026

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