Basic Information
| Provider Information | |||||||||
| NPI: | 1285074286 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SYED | ||||||||
| FirstName: | KIRAN | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | PSY.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6600 KALANIANAOLE HWY STE 225 | ||||||||
| Address2: | |||||||||
| City: | HONOLULU | ||||||||
| State: | HI | ||||||||
| PostalCode: | 968251281 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8083942800 | ||||||||
| FaxNumber: | 8083942826 | ||||||||
| Practice Location | |||||||||
| Address1: | 935 MAKAHIKI WAY | ||||||||
| Address2: | |||||||||
| City: | HONOLULU | ||||||||
| State: | HI | ||||||||
| PostalCode: | 968262896 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8089224787 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/05/2013 | ||||||||
| LastUpdateDate: | 01/25/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103T00000X | PSY1591 | HI | N | Behavioral Health & Social Service Providers | Psychologist | 103TC0700X | PSY1591 | HI | Y | Behavioral Health & Social Service Providers | Psychologist | Clinical |
No ID Information.