Provider Demographics
NPI:1982780128
Name:ZAFRANI, MICHAEL BRUCE (MD)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:BRUCE
Last Name:ZAFRANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:98 1247 KAAHUMANU STREET
Mailing Address - Street 2:SUITE 312A
Mailing Address - City:AICA
Mailing Address - State:HI
Mailing Address - Zip Code:96701
Mailing Address - Country:US
Mailing Address - Phone:808-488-7888
Mailing Address - Fax:808-488-1631
Practice Address - Street 1:98 1247 KAAHUMANU STREET
Practice Address - Street 2:SUITE 312A
Practice Address - City:AICA
Practice Address - State:HI
Practice Address - Zip Code:96701
Practice Address - Country:US
Practice Address - Phone:808-488-7888
Practice Address - Fax:808-488-1631
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD56982084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
25571OtherHMSA
HI02305501Medicaid
HI02305501Medicaid
C98997Medicare UPIN