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

Dr. Diana M Ottulich, MD

Individual provider General Practice Physician · NPI 1629715552

Dr. Diana M Ottulich, MD is a General Practice Physician in Pearl Harbor, Hawaii. Licensed in Virginia. Registered with an NPI since 2022.

Licensed in
VA
In the registry since
2022
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

822 Clark St
Pearl Harbor, HI 96860-4652
Phone: (757) 836-5929
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Military Health Care Provider (primary) Taxonomy 171000000X · Licence 0101280042 (VA)
General Practice Physician Taxonomy 208D00000X · Licence 0101280042 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1629715552
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 12, 2022
Last updated in NPPESMay 28, 2024
Certification dateMay 28, 2024

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