Individual
BRANDI GARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1301 PUNCHBOWL ST, HONOLULU, HI 96813-2402
(808) 691-4311
Mailing address
770 KAPIOLANI BLVD, HONOLULU, HI 96813-5212
(808) 597-8799
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
17372
HI
207P00000X
Emergency Medicine Physician
Primary
260964
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17372
HAWAII MEDICAL LICENSE
HI
01
—
19551
RESIDENT PERMIT
MN
Enumeration date
04/30/2008
Last updated
08/16/2018
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