Provider Demographics
NPI:1962806695
Name:ALOHA PEDIATRICS LLC
Entity type:Organization
Organization Name:ALOHA PEDIATRICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMI
Authorized Official - Middle Name:A
Authorized Official - Last Name:KNOX
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-652-8800
Mailing Address - Street 1:3501 RICE ST
Mailing Address - Street 2:SUITE 209
Mailing Address - City:LIHUE
Mailing Address - State:HI
Mailing Address - Zip Code:96766-1765
Mailing Address - Country:US
Mailing Address - Phone:808-652-0048
Mailing Address - Fax:
Practice Address - Street 1:3501 RICE ST
Practice Address - Street 2:SUITE 209
Practice Address - City:LIHUE
Practice Address - State:HI
Practice Address - Zip Code:96766-1765
Practice Address - Country:US
Practice Address - Phone:808-652-0048
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-09
Last Update Date:2014-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD15136208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty