Provider Demographics
NPI:1922204700
Name:ADRIAN, CELESTE SUZANNE (MD)
Entity Type:Individual
Prefix:DR
First Name:CELESTE
Middle Name:SUZANNE
Last Name:ADRIAN
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 1:30 N CHURCH ST STE 300
Mailing Address - Street 2:
Mailing Address - City:WAILUKU
Mailing Address - State:HI
Mailing Address - Zip Code:96793-1600
Mailing Address - Country:US
Mailing Address - Phone:808-242-9787
Mailing Address - Fax:808-242-4518
Practice Address - Street 1:30 N CHURCH ST STE 300
Practice Address - Street 2:
Practice Address - City:WAILUKU
Practice Address - State:HI
Practice Address - Zip Code:96793-1600
Practice Address - Country:US
Practice Address - Phone:808-242-9787
Practice Address - Fax:808-242-4518
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-27
Last Update Date:2011-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-16155207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology