Provider Demographics
NPI:1518358613
Name:TRASK-BATTI, MILILANI (MD, MPH)
Entity Type:Individual
Prefix:
First Name:MILILANI
Middle Name:
Last Name:TRASK-BATTI
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:670 PONAHAWAI ST STE 117
Mailing Address - Street 2:
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720-7831
Mailing Address - Country:US
Mailing Address - Phone:808-885-3627
Mailing Address - Fax:
Practice Address - Street 1:633 PONAHAWAI ST STE C
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-7601
Practice Address - Country:US
Practice Address - Phone:808-896-4891
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-10
Last Update Date:2020-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI21295207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine