Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Pukalani Family Practice, LLC

Organization Family Medicine Physician · NPI 1063009207

Pukalani Family Practice, LLC is a Family Medicine Physician in Makawao, Hawaii. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

81 Makawao Ave Ste 100
Makawao, HI 96768-8859
Phone: (808) 573-8900
Fax: (808) 573-7505
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X
Family Medicine Physician Taxonomy 207Q00000X
Family Nurse Practitioner Taxonomy 363LF0000X
Gerontology Nurse Practitioner Taxonomy 363LG0600X

Record details

NPI number1063009207
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dayaji Green — Office Manager · (808) 573-8900
NPI enumeratedDecember 22, 2020
Last updated in NPPESDecember 22, 2020
Certification dateDecember 22, 2020
Mailing address81 Makawao Ave Ste 100, Makawao, HI 96768-8859

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