Provider Demographics
NPI:1609171305
Name:DR. DONNA PRATT, LLC
Entity Type:Organization
Organization Name:DR. DONNA PRATT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:ELISE
Authorized Official - Last Name:PRATT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-537-1164
Mailing Address - Street 1:1132 BISHOP ST STE 1110
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-2829
Mailing Address - Country:US
Mailing Address - Phone:808-537-1164
Mailing Address - Fax:808-537-1174
Practice Address - Street 1:1132 BISHOP ST STE 1110
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-2829
Practice Address - Country:US
Practice Address - Phone:808-537-1164
Practice Address - Fax:808-537-1174
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-11
Last Update Date:2011-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD15819207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive EndocrinologyGroup - Multi-Specialty