Provider Demographics
NPI:1215940804
Name:HAWAIIAN ISLAND EAR NOSE AND THROAT
Entity type:Organization
Organization Name:HAWAIIAN ISLAND EAR NOSE AND THROAT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISTI
Authorized Official - Middle Name:
Authorized Official - Last Name:ADACHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-533-0711
Mailing Address - Street 1:1380 LUSITANA ST
Mailing Address - Street 2:SUITE 502
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-2449
Mailing Address - Country:US
Mailing Address - Phone:808-533-0711
Mailing Address - Fax:808-538-6763
Practice Address - Street 1:1380 LUSITANA ST STE 502
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-2441
Practice Address - Country:US
Practice Address - Phone:808-533-0711
Practice Address - Fax:808-538-6763
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-14
Last Update Date:2011-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI9165207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI07560201Medicaid
HIL202915OtherHMSA - QUEEN'S OFFICE
HII202912OtherHMSA - KUAKINI OFFICE
HIH202914OtherHMSA - PALI MOMI OFFICE
HI07560201Medicaid
HIG00951Medicare UPIN