Individual
KELI YUTAKO TAHARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
98-1079 MOANALUA RD, AIEA, HI 96701-4713
(808) 485-4250
Mailing address
98-1079 MOANALUA RD, AIEA, HI 96701-4713
(808) 485-4250
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
A174301
CA
2084N0400X
Neurology Physician
Primary
MD-23590
HI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/07/2018
Last updated
08/01/2023
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