Provider Demographics
NPI:1548421068
Name:VO, TERESA HIEN (DO)
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:HIEN
Last Name:VO
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:98-1238 KAAHUMANU ST STE 404A
Mailing Address - Street 2:
Mailing Address - City:PEARL CITY
Mailing Address - State:HI
Mailing Address - Zip Code:96782-3292
Mailing Address - Country:US
Mailing Address - Phone:808-488-1990
Mailing Address - Fax:808-486-8495
Practice Address - Street 1:98-1238 KAAHUMANU ST STE 404A
Practice Address - Street 2:
Practice Address - City:PEARL CITY
Practice Address - State:HI
Practice Address - Zip Code:96782-3292
Practice Address - Country:US
Practice Address - Phone:808-488-1990
Practice Address - Fax:808-486-8495
Is Sole Proprietor?:No
Enumeration Date:2008-06-18
Last Update Date:2014-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1374208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI690736Medicaid
HIU052942Medicare UPIN