Provider Demographics
NPI:1174970040
Name:DODANLI, ARIF MELIK (LAC, LMT)
Entity type:Individual
Prefix:MR
First Name:ARIF
Middle Name:MELIK
Last Name:DODANLI
Suffix:
Gender:M
Credentials:LAC, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 KAIULANI AVE APT 1006
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96815-3044
Mailing Address - Country:US
Mailing Address - Phone:808-381-0235
Mailing Address - Fax:
Practice Address - Street 1:931 UNIVERSITY AVE
Practice Address - Street 2:#104
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96826-3263
Practice Address - Country:US
Practice Address - Phone:808-381-0235
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-19
Last Update Date:2016-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMAT-9779225700000X
HIACU-837171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist