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

Keli Yutako Tahara

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1114416005

Keli Yutako Tahara is a Neurology in Aiea, Hawaii. Graduated from University of Hawaii John A. Burns School of Medicine in 2018, 8 years ago. Practices with Pali Momi Medical Center, a 90-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California and Hawaii.

Years since qualifying
8
Trained at
University of Hawaii John A. Burns School of Medicine
Licensed in
CA, HI
In the registry since
2018
Specialties on file
3
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Practice location Address checks out

98-1079 Moanalua Rd
Aiea, HI 96701-4713
Phone: (808) 485-4250
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence MD-23590 (HI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Neurology Physician Taxonomy 2084N0400X · Licence A174301 (CA)

Record details

NPI number1114416005
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 7, 2018
Last updated in NPPESAugust 1, 2023
Certification dateAugust 1, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROLOGY
Medical schoolUNIVERSITY OF HAWAII JOHN A. BURNS SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Pali Momi Medical Center — 90 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Aiea