Search › Hawaii › 207R00000X
Derek Illastron, MD
NPI 1790949956 · on the registry since 2008
Practice
- Address
- 110 E Kaahumanu Ave
Kahului, HI 96732 - Phone
- (808) 242-6464
- Fax
- (808) 243-2367
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 207R00000X
- Licence states on file
- MA, HI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-03-19
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