Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | 15477 | HI |
NPI | 1457364390 |
---|---|
Provider Name | Akila Sreedharan |
First Address | Honolulu, HI 96814-2118 |
Second Address | Honolulu, HI 96814-2118 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2006 |
Last Update Date | 30/06/2021 |