Active NPI
Todd H.M. Mirzai,M.D.,LLC
- Plastic Surgery Physician
- Honolulu, HI
National Provider Identifier
1851509202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- MD11980
- Legal business name
- TODD H.M. MIRZAI,M.D.,LLC
- Practice address
- 1907 S Beretania St
Suite 120
Honolulu, HI 96826-1301 - Phone
- (808) 952-9779
- Fax
- (808) 952-9988
- NPI assigned
- May 18, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Todd H.M. Mirzai, M.D.
- Title
- Owner
- Phone
- (808) 952-9779
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | MD11980 | HI | Primary |
Addresses
Primary practice location
1907 S Beretania St
Suite 120
Honolulu, HI 96826-1301
Mailing address
1939 E Vineyard St
Wailuku, HI 96793-1714
Phone (808) 249-8509
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D0236093 | Other | HI | KAUAI HMSA PIN |
| P00019092 | Other | HI | MEDICARE RAILROAD PIN |
| E0236090 | Other | HI | MAUI 2 HMSA PIN |
| A236099 | Other | HI | MAUI HMSA PIN |
| 5797799 | Other | HI | UHA PIN |
| C236095 | Other | HI | HMSA OAHU PIN |
National Provider Directory
National Provider DirectoryLocations
1939 E Vineyard St
Wailuku, HI 96793
Phone (808) 249-2431
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210032000000",
"number": "1851509202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1939 E VINEYARD ST",
"city": "WAILUKU",
"state": "HI",
"postal_code": "967931714",
"telephone_number": "808-249-8509",
"fax_number": "808-242-9166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1907 S BERETANIA ST",
"address_2": "SUITE 120",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968261301",
"telephone_number": "808-952-9779",
"fax_number": "808-952-9988"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TODD H.M. MIRZAI,M.D.,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-18",
"last_updated": "2008-05-06",
"status": "A",
"authorized_official_last_name": "MIRZAI",
"authorized_official_first_name": "TODD",
"authorized_official_middle_name": "H.M.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "808-952-9779",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": "HI",
"license": "MD11980",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAUAI HMSA PIN",
"identifier": "D0236093",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD PIN",
"identifier": "P00019092",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAUI 2 HMSA PIN",
"identifier": "E0236090",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAUI HMSA PIN",
"identifier": "A236099",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHA PIN",
"identifier": "5797799",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA OAHU PIN",
"identifier": "C236095",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.