Basic Information
Provider Information
NPI: 1093804247
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HUANG
FirstName: KATIE
MiddleName: H.T.
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 888 S KING ST
Address2: STRAUB DEPARTMENT OF SURGERY
City: HONOLULU
State: HI
PostalCode: 968133097
CountryCode: US
TelephoneNumber: 8085224000
FaxNumber: 8085224397
Practice Location
Address1: 888 S KING ST
Address2:  
City: HONOLULU
State: HI
PostalCode: 968133009
CountryCode: US
TelephoneNumber: 8085224000
FaxNumber: 8085224397
Other Information
ProviderEnumerationDate: 10/12/2006
LastUpdateDate: 03/16/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208600000XMD-13247HIY Allopathic & Osteopathic PhysiciansSurgery 

No ID Information.


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