Provider Demographics
NPI:1407271521
Name:TAGHIPOUR, DELARAM JASMINE (MD)
Entity type:Individual
Prefix:DR
First Name:DELARAM
Middle Name:JASMINE
Last Name:TAGHIPOUR
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1009 KAPIOLANI BLVD APT 1502
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-2157
Mailing Address - Country:US
Mailing Address - Phone:301-928-9193
Mailing Address - Fax:
Practice Address - Street 1:405 N KUAKINI ST STE 1107
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:808-208-8444
Practice Address - Fax:808-909-9015
Is Sole Proprietor?:No
Enumeration Date:2014-02-26
Last Update Date:2025-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-221062086S0129X
HIMD22106208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery