Provider Demographics
NPI:1841434271
Name:MA, ADRIENNE TSIN-HAO (MD)
Entity type:Individual
Prefix:DR
First Name:ADRIENNE
Middle Name:TSIN-HAO
Last Name:MA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77-6266 KAUMALUMALU DR
Mailing Address - Street 2:
Mailing Address - City:HOLUALOA
Mailing Address - State:HI
Mailing Address - Zip Code:96725
Mailing Address - Country:US
Mailing Address - Phone:808-721-0122
Mailing Address - Fax:
Practice Address - Street 1:321 N KUAKINI ST STE 306
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-2360
Practice Address - Country:US
Practice Address - Phone:808-792-9888
Practice Address - Fax:808-593-9444
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-29
Last Update Date:2019-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
HIMD-17082207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program