Individual
DR. WENDI NOBUKO HARADA SHIBAYAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
HI600
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CP278Z
MEDICARE PTAN ASSOCIATED WITH GROUP NPI 1215266523
HI
Enumeration date
03/28/2008
Last updated
09/25/2017
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