Basic Information
Provider Information
NPI: 1407110588
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BRIGHTON
FirstName: ANJULI
MiddleName: MAYA
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1301 PUNCHBOWL ST
Address2:  
City: HONOLULU
State: HI
PostalCode: 968132499
CountryCode: US
TelephoneNumber: 8086911000
FaxNumber:  
Practice Location
Address1: 1301 PUNCHBOWL ST
Address2:  
City: HONOLULU
State: HI
PostalCode: 968132499
CountryCode: US
TelephoneNumber: 8086911000
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/03/2012
LastUpdateDate: 07/25/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/25/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RP1001XDR.0065257CON Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
207RS0012XMD-22368HIN Allopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
207RP1001XMD60931151WAN Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
207RS0012XDR.0065257CON Allopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
207RP1001XMD-22368HIY Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease

No ID Information.


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