Individual provider · NPI-1
Heather Irene Bejenaru, M.D.
Family Medicine · Kihei, HI
NPI number1154498665
StatusActive
Last updated in NPPESJun 12, 2023
Details
- NPI
- 1154498665
- Entity type
- Individual (NPI-1)
- Name
- Heather Irene Bejenaru
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 29, 2006
- Certification date
- Jun 12, 2023
- Last updated
- Jun 12, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 11954 | HI | Yes |
| 207N00000X | Dermatology | 11954 | HI |
Practice location
161 Wailea Ike Pl Ste A104Kihei, HI 96753-6502
Phone 808-875-0511 · Fax 808-875-8595
Mailing address
41 E. Lipoa StreetSuite 21
Kihei, HI 96753
Phone 808-875-0511 · Fax 808-875-8595
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