Keli Yutako Tahara
Psychiatry & Neurology, Neurology in Aiea, HI. Individual provider (NPI-1).
NPI number1114416005
StatusActive
Last updated in NPPESAug 1, 2023
Details
- NPI
- 1114416005
- Entity type
- Individual (NPI-1)
- Name
- Keli Yutako Tahara
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 7, 2018
- Certification date
- Aug 1, 2023
- Last updated
- Aug 1, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | MD-23590 | HI | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | |
| 2084N0400X | Psychiatry & Neurology, Neurology | A174301 | CA |
Practice location
98-1079 Moanalua RdAiea, HI 96701-4713
Phone 808-485-4250
Mailing address
98-1079 Moanalua RdAiea, HI 96701-4713
Phone 808-485-4250
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All 5 Neurology Physician providers in Aiea · All 1,906 providers in Aiea
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