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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. DIANA M OTTULICH, MD

Active

DR. DIANA M OTTULICH, MD is a Military Health Care Provider healthcare provider located in PEARL HARBOR, Hawaii. NPI 1629715552 is currently active in the NPPES registry. Verify at CMS.

Military Health Care Provider · PEARL HARBOR, HI

Registration Details

NPI Number
1629715552
Provider Type
Individual
Gender
Female
NPI Issued
May 12, 2022 (4.2144656661778 yrs)
Last Updated
May 28, 2024
Licenses
0101280042 (VA)
0101280042 (VA)

Practice Information

Address
822 CLARK ST
PEARL HARBOR, HI, 968604652
Browse HI providers · Browse ZIP 96860
Phone
7578365929
Primary Specialty
Military Health Care Provider
171000000X
Additional Specialty
Military Health Care Provider

Other Military Health Care Provider Providers in PEARL HARBOR, HI

Name Credential NPI
POLLYANNA PALHANO 1548639115
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.