| Organization Name: | HAWAII PODIATRY INC OHANA FOOT & ANKLE SPECIALIST |
| NPI Number: | 1235549056 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LIANE J WATANABE (OWNER/PRESIDENT) |
| Mailing Address: | 1245 Kuala St Suite 102a Pearl City |
| State: | HI US |
| Postal Code: | 967823900 |
| Phone Number: | 8087262161 |
| Fax Number: | 8087262161 |
| NPI Enumeration Date: | 05/01/2014 |
| NPI Last Update Date: | 03/24/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | PO-196 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |