1407271521 NPI number — DR. DELARAM JASMINE TAGHIPOUR M.D.

Table of content: DR. DELARAM JASMINE TAGHIPOUR M.D. (NPI 1407271521)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1407271521 NPI number — DR. DELARAM JASMINE TAGHIPOUR M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TAGHIPOUR
Provider First Name:
DELARAM
Provider Middle Name:
JASMINE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1407271521
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/26/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1009 KAPIOLANI BLVD APT 1502
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HONOLULU
Provider Business Mailing Address State Name:
HI
Provider Business Mailing Address Postal Code:
96814-2157
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
301-928-9193
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
405 N KUAKINI ST STE 1107
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96817-6301
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-208-8444
Provider Business Practice Location Address Fax Number:
808-909-9015
Provider Enumeration Date:
02/26/2014

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2086S0129X , with the licence number:  MD-22106 , registered in the state of HI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)