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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

TRACIE F HATA, MD
590 FARRINGTON HWY
UNIT 526A
KAPOLEI, HI96707-2009
 Phone: 808-674-2930
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for TRACIE F HATA · (Female)

NPI Number 1912065285
Credentials MD
Entity Individual
Enumeration date 12/05/2006
Last updated 10/31/2012 - About 4 years ago
Sole proprietor 1 No
Identifiers
CO License # 38167
HI License # 16197
VA License # 0101238475
Medicare (Unspecified) 018303K92
Medicare UPIN H17659
Hospital affiliation(s)
  • PALI MOMI MEDICAL CENTER - (Acute Care)
    98-1079 MOANALUA ROAD
    AIEA, HI 96701
  • STRAUB CLINIC AND HOSPITAL - (Acute Care)
    888 SO KING STREET
    HONOLULU, HI 96813
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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