Provider Demographics
NPI:1265247118
Name:GAOIRAN, MICHAEL ANGELO SEBASTIAN (DPT)
Entity type:Individual
Prefix:DR
First Name:MICHAEL ANGELO
Middle Name:SEBASTIAN
Last Name:GAOIRAN
Suffix:
Gender:
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91-1834 KAPEKU LOOP
Mailing Address - Street 2:
Mailing Address - City:EWA BEACH
Mailing Address - State:HI
Mailing Address - Zip Code:96706-7856
Mailing Address - Country:US
Mailing Address - Phone:808-589-6864
Mailing Address - Fax:
Practice Address - Street 1:46-005 KAWA ST STE 211
Practice Address - Street 2:
Practice Address - City:KANEOHE
Practice Address - State:HI
Practice Address - Zip Code:96744-3838
Practice Address - Country:US
Practice Address - Phone:808-235-6818
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-10
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI6100225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist