Provider Demographics
NPI:1265602593
Name:NATAVIO, MELISSA FAITH (MD)
Entity type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:FAITH
Last Name:NATAVIO
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:677 ALA MOANA BLVD STE 1001
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-5408
Mailing Address - Country:US
Mailing Address - Phone:808-469-4900
Mailing Address - Fax:808-536-7315
Practice Address - Street 1:550 S BERETANIA ST STE 610
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-2496
Practice Address - Country:US
Practice Address - Phone:808-218-7900
Practice Address - Fax:808-218-7949
Is Sole Proprietor?:No
Enumeration Date:2008-03-03
Last Update Date:2019-03-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
HI19901207V00000X
CAA92126207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA92126OtherCA MED LICENSE