Provider Demographics
NPI:1821159765
Name:PRATT, DONNA ELISE (MD)
Entity Type:Individual
Prefix:DR
First Name:DONNA
Middle Name:ELISE
Last Name:PRATT
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 1:1132 BISHOP ST.
Mailing Address - Street 2:SUITE #1110
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813
Mailing Address - Country:US
Mailing Address - Phone:808-537-1164
Mailing Address - Fax:808-537-1174
Practice Address - Street 1:1132 BISHOP ST.
Practice Address - Street 2:SUITE #1110
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813
Practice Address - Country:US
Practice Address - Phone:808-537-1164
Practice Address - Fax:808-537-1174
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2011-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036052546174400000X
IN01042194A174400000X
HIMD-15819174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL363543494OtherTAX ID #
ILC39290OtherUPIN #
IL1606654OtherBLUE CROSS SHIELD PIN #