# MARK T. GRATTAN, MD, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043413040
- **Authorized official:** DR. MARK T. GRATTAN M.D. (SOLE PROPRIETOR)
- **Authorized official phone:** (808) 522-3068

## Contact information

- **Practice address:** 888 S KING ST, HONOLULU, HI 96813-3009
- **Practice address phone:** (808) 522-3068
- **Mailing address:** 820 MILILANI ST, SUITE 702A, HONOLULU, HI 96813-2924
- **Mailing address phone:** (808) 523-9363
- **Mailing address fax:** (808) 523-9418

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | MD 7469 | HI | Yes |

## Other

- **Enumeration date:** 06/07/2007
- **Last updated:** 12/11/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 06869402 | — | HI |