Provider Demographics
NPI:1679453872
Name:KUDAN, NARCHUDA
Entity type:Individual
Prefix:MRS
First Name:NARCHUDA
Middle Name:
Last Name:KUDAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:909 KAPIOLANI BLVD APT 1106
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-2136
Mailing Address - Country:US
Mailing Address - Phone:808-341-1645
Mailing Address - Fax:
Practice Address - Street 1:98-1277 KAAHUMANU ST STE 130
Practice Address - Street 2:
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-5319
Practice Address - Country:US
Practice Address - Phone:808-723-2921
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-08
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMAT-16530225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist