Provider Demographics
NPI:1497971477
Name:SHIRAISHI, MARI (MD)
Entity Type:Individual
Prefix:DR
First Name:MARI
Middle Name:
Last Name:SHIRAISHI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1356 LUSITANA ST FL 7
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-2409
Mailing Address - Country:US
Mailing Address - Phone:808-586-7762
Mailing Address - Fax:808-586-7760
Practice Address - Street 1:1380 LUSITANA ST STE 414
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-2440
Practice Address - Country:US
Practice Address - Phone:808-586-7481
Practice Address - Fax:808-586-7760
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2021-10-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
HI16461207RR0500X, 207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology