Provider Demographics
NPI:1316929011
Name:BRANDT, DANIEL F (MD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:F
Last Name:BRANDT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 N KUAKINI ST STE 1104
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-6301
Mailing Address - Country:US
Mailing Address - Phone:808-528-4577
Mailing Address - Fax:808-888-0988
Practice Address - Street 1:405 N KUAKINI ST STE 1104
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-6301
Practice Address - Country:US
Practice Address - Phone:808-528-4577
Practice Address - Fax:808-888-0988
Is Sole Proprietor?:No
Enumeration Date:2005-11-17
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA88724207RR0500X
IL036.116317207RR0500X
HIMD-15707207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIMD-15707OtherMD- LIC