Provider Demographics
NPI:1023780509
Name:MARI A. SHIRAISHI, M.D., INC.
Entity type:Organization
Organization Name:MARI A. SHIRAISHI, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARI
Authorized Official - Middle Name:AKEMI
Authorized Official - Last Name:SHIRAISHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-367-1955
Mailing Address - Street 1:1380 LUSITANA ST STE 409
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-2440
Mailing Address - Country:US
Mailing Address - Phone:808-367-1955
Mailing Address - Fax:808-367-0106
Practice Address - Street 1:1380 LUSITANA ST STE 409
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-2440
Practice Address - Country:US
Practice Address - Phone:808-367-1955
Practice Address - Fax:808-367-0106
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-01
Last Update Date:2025-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty