Basic Information
| Provider Information | |||||||||
| NPI: | 1346985322 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MA | ||||||||
| FirstName: | SHANI | ||||||||
| MiddleName: | CHOI YEN | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1319 PUNAHOU ST # 824 | ||||||||
| Address2: | |||||||||
| City: | HONOLULU | ||||||||
| State: | HI | ||||||||
| PostalCode: | 968261080 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8085862890 | ||||||||
| FaxNumber: | 8085862947 | ||||||||
| Practice Location | |||||||||
| Address1: | 1319 PUNAHOU ST # 824 | ||||||||
| Address2: | |||||||||
| City: | HONOLULU | ||||||||
| State: | HI | ||||||||
| PostalCode: | 968261080 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8085862890 | ||||||||
| FaxNumber: | 8085862947 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/03/2022 | ||||||||
| LastUpdateDate: | 05/03/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 05/03/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | MDR-8279 | HI | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
No ID Information.