Provider Demographics
NPI:1982654224
Name:ODA, PARIS HT (DC)
Entity Type:Individual
Prefix:DR
First Name:PARIS
Middle Name:HT
Last Name:ODA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1481 S KING ST
Mailing Address - Street 2:SUITE 438
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-2506
Mailing Address - Country:US
Mailing Address - Phone:808-942-2232
Mailing Address - Fax:808-942-2234
Practice Address - Street 1:1481 S KING ST
Practice Address - Street 2:SUITE 438
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-2506
Practice Address - Country:US
Practice Address - Phone:808-942-2232
Practice Address - Fax:808-942-2234
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2024-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1066111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
101676Medicare ID - Type Unspecified