Provider Demographics
NPI:1831130632
Name:KA'ANEHE, LEILANI (MD)
Entity Type:Individual
Prefix:
First Name:LEILANI
Middle Name:
Last Name:KA'ANEHE
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 1:1520 LILIHA ST
Mailing Address - Street 2:#601
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-3564
Mailing Address - Country:US
Mailing Address - Phone:808-523-0445
Mailing Address - Fax:808-523-0442
Practice Address - Street 1:1520 LILIHA ST STE 601
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-3564
Practice Address - Country:US
Practice Address - Phone:808-523-0445
Practice Address - Fax:808-523-0442
Is Sole Proprietor?:No
Enumeration Date:2006-06-10
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-10546207RN0300X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI11126566OtherCAQH
HI252229Medicaid
HI252229-24Medicaid
HI252229-18Medicaid
HI252229-22Medicaid
HI252229-23Medicaid
HI252229-15Medicaid
HI252229-19Medicaid
HI252229-21Medicaid
HIH51941Medicare PIN
HI252229-22Medicaid