Provider Demographics
NPI:1023180403
Name:USAMI, SHELLIE M (MD)
Entity Type:Individual
Prefix:DR
First Name:SHELLIE
Middle Name:M
Last Name:USAMI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1024 PIIKOI ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-1925
Mailing Address - Country:US
Mailing Address - Phone:808-596-2266
Mailing Address - Fax:808-591-0470
Practice Address - Street 1:1024 PIIKOI ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-1925
Practice Address - Country:US
Practice Address - Phone:808-596-2266
Practice Address - Fax:808-591-0470
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI11350208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics