Provider Demographics
NPI:1689851438
Name:CHOI, NICHOLE ANN (MD)
Entity Type:Individual
Prefix:DR
First Name:NICHOLE
Middle Name:ANN
Last Name:CHOI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:NICHOLE
Other - Middle Name:ANN
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:770 KAPIOLANI BLVD
Mailing Address - Street 2:#705
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-5212
Mailing Address - Country:US
Mailing Address - Phone:808-597-8791
Mailing Address - Fax:808-597-8781
Practice Address - Street 1:770 KAPIOLANI BLVD
Practice Address - Street 2:#705
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-5212
Practice Address - Country:US
Practice Address - Phone:808-597-8791
Practice Address - Fax:808-597-8781
Is Sole Proprietor?:No
Enumeration Date:2008-01-23
Last Update Date:2022-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD13689207P00000X, 208000000X
GA002226207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics