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Individual

DR. DONNA ELISE PRATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1132 BISHOP ST., SUITE #1110, HONOLULU, HI 96813
(808) 537-1164
(808) 537-1174
Mailing address
1132 BISHOP ST., SUITE #1110, HONOLULU, HI 96813
(808) 537-1164
(808) 537-1174

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
01042194A
IN
174400000X
Specialist
036052546
IL
174400000X
Specialist
Primary
MD-15819
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1606654
BLUE CROSS SHIELD PIN #
IL
01
363543494
TAX ID #
IL
01
C39290
UPIN #
IL
Enumeration date
12/13/2006
Last updated
01/19/2011
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