Basic Information
Provider Information
NPI: 1851036826
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HIRASHIMA
FirstName: MESHELLE
MiddleName: MARIKO
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1319 PUNAHOU ST STE 824
Address2:  
City: HONOLULU
State: HI
PostalCode: 968261032
CountryCode: US
TelephoneNumber: 8085862890
FaxNumber:  
Practice Location
Address1: 1319 PUNAHOU ST STE 824
Address2:  
City: HONOLULU
State: HI
PostalCode: 968261032
CountryCode: US
TelephoneNumber: 8085862890
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/03/2022
LastUpdateDate: 05/05/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/05/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000XMDR-8275HIY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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