Provider Demographics
NPI:1598351611
Name:BLAIR, MEGAN DANIELLE (DO)
Entity Type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:DANIELLE
Last Name:BLAIR
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:1319 PUNAHOU STREET
Mailing Address - Street 2:#741
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96826
Mailing Address - Country:US
Mailing Address - Phone:808-369-1200
Mailing Address - Fax:808-369-1212
Practice Address - Street 1:1319 PUNAHOU STREET
Practice Address - Street 2:#741
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96826
Practice Address - Country:US
Practice Address - Phone:808-369-1200
Practice Address - Fax:808-369-1212
Is Sole Proprietor?:No
Enumeration Date:2020-12-13
Last Update Date:2023-05-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
HIDOSR-602208000000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program