Provider Demographics
NPI:1811103708
Name:NORMAN, PATRICK A
Entity type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:A
Last Name:NORMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:PATRICK
Other - Middle Name:A
Other - Last Name:NORMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:3939 NUUANU PALI DR # 2
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-1000
Mailing Address - Country:US
Mailing Address - Phone:808-595-8521
Mailing Address - Fax:808-595-0426
Practice Address - Street 1:3939 NUUANU PALI DR # 2
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-1000
Practice Address - Country:US
Practice Address - Phone:808-595-8521
Practice Address - Fax:808-595-0426
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI42902084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry