Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | MD-19029 | HI |
N | 207R00000X | Internist | MD-19029 | HI |
N | 111NI0900X | Internist | MD-19029 | HI |
NPI | 1245641448 |
---|---|
Provider Name | Ms. Faye Tachibana |
First Address | Aiea, HI 96701-4333 |
Second Address | Aiea, HI 96701-4333 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2014 |
Last Update Date | 04/02/2022 |