Provider Demographics
NPI:1154541555
Name:ANDRADE, NALEEN N (MD)
Entity type:Individual
Prefix:DR
First Name:NALEEN
Middle Name:N
Last Name:ANDRADE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:60 N BERETANIA ST
Mailing Address - Street 2:# 1102
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-4752
Mailing Address - Country:US
Mailing Address - Phone:808-586-2900
Mailing Address - Fax:808-586-2940
Practice Address - Street 1:1301 PUNCHBOWL ST
Practice Address - Street 2:THE QUEEN'S MEDICAL CENTER - PROFESSIONAL BILLING
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-2402
Practice Address - Country:US
Practice Address - Phone:808-586-2900
Practice Address - Fax:808-586-2940
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2020-06-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
HIMD-49892084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI2409-1Medicaid