Provider Demographics
NPI:1699185207
Name:RASA, MALIA (MD)
Entity Type:Individual
Prefix:
First Name:MALIA
Middle Name:
Last Name:RASA
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 1:1215 HUNAKAI ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-4661
Mailing Address - Country:US
Mailing Address - Phone:808-691-8200
Mailing Address - Fax:
Practice Address - Street 1:1215 HUNAKAI ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96816-4661
Practice Address - Country:US
Practice Address - Phone:808-691-8200
Practice Address - Fax:808-735-7003
Is Sole Proprietor?:No
Enumeration Date:2014-05-05
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-18988208000000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics