Provider Demographics
NPI:1447514625
Name:KALAHIKI, TANI D (BA)
Entity type:Individual
Prefix:
First Name:TANI
Middle Name:D
Last Name:KALAHIKI
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:86-120 FARRINGTON HWY STE A107
Mailing Address - Street 2:
Mailing Address - City:WAIANAE
Mailing Address - State:HI
Mailing Address - Zip Code:96792-3071
Mailing Address - Country:US
Mailing Address - Phone:808-492-0777
Mailing Address - Fax:
Practice Address - Street 1:86-120 FARRINGTON HWY STE A107
Practice Address - Street 2:
Practice Address - City:WAIANAE
Practice Address - State:HI
Practice Address - Zip Code:96792-3071
Practice Address - Country:US
Practice Address - Phone:808-492-0777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-02
Last Update Date:2012-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI171M00000XOtherCASE MANAGER/CARE COORDINATOR