Provider Demographics
NPI:1760542914
Name:ESTIN, NORMAN MICHEL (MD)
Entity Type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:MICHEL
Last Name:ESTIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 NOHEA KAI DRIVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LAHAINA
Mailing Address - State:HI
Mailing Address - Zip Code:96761
Mailing Address - Country:US
Mailing Address - Phone:808-667-7676
Mailing Address - Fax:
Practice Address - Street 1:200 NOHEA KAI DRIVE
Practice Address - Street 2:SUITE 100
Practice Address - City:LAHAINA
Practice Address - State:HI
Practice Address - Zip Code:96761
Practice Address - Country:US
Practice Address - Phone:808-667-7676
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI5896207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIC98753Medicare UPIN