Basic Information
Provider Information
NPI: 1447586912
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BURNS
FirstName: JAMI
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1329 LUSITANA ST
Address2: STE 604
City: HONOLULU
State: HI
PostalCode: 968132429
CountryCode: US
TelephoneNumber: 8163059847
FaxNumber:  
Practice Location
Address1: 1329 LUSITANA ST
Address2: STE 604
City: HONOLULU
State: HI
PostalCode: 968132429
CountryCode: US
TelephoneNumber: 8085311116
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/19/2009
LastUpdateDate: 01/17/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000XA 109075CAN Allopathic & Osteopathic PhysiciansAnesthesiology 
207L00000X15726HIY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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