Elijah Davenport

NPI 1508132572 · on the registry since 2012

Practice

Address: 615 Piikoi St
Suite 203
Honolulu, HI 96814
Phone: (808) 589-1829
Fax: (808) 589-2610
Organisation at this address: Tiffe, Llc
Walgreen Co
Edith Vajda
B.C.P., Inc.
B. C. P., Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 344

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: HI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-01-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Hawaii