Provider Demographics
NPI:1255381398
Name:NAHULU, LINDA B (MD)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:B
Last Name:NAHULU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:677 ALA MOANA BLVD
Mailing Address - Street 2:SUITE 1025
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-5419
Mailing Address - Country:US
Mailing Address - Phone:808-535-5975
Mailing Address - Fax:808-535-5976
Practice Address - Street 1:677 ALA MOANA BLVD
Practice Address - Street 2:SUITE 1025
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-5419
Practice Address - Country:US
Practice Address - Phone:808-535-5975
Practice Address - Fax:808-535-5976
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-11
Last Update Date:2022-04-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
HIMD65302084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI100380Medicare ID - Type Unspecified
HIH60834Medicare UPIN