Provider Demographics
NPI:1598865156
Name:WHITE, KAREN B (MD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:B
Last Name:WHITE
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 1:6700 KALANIANAOLE HWY STE 111
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96825-1278
Mailing Address - Country:US
Mailing Address - Phone:808-432-3700
Mailing Address - Fax:
Practice Address - Street 1:6700 KALANIANAOLE HWY STE 111
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96825-1278
Practice Address - Country:US
Practice Address - Phone:808-432-3700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-24
Last Update Date:2007-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-8664207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI0000039347OtherHMSA BILLING NUMBER
HI035661-04Medicaid
HI0000039347OtherHMSA BILLING NUMBER
HIH000BDWGWMedicare PIN