Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEREK R ILLASTRON, MD
ActiveDEREK R ILLASTRON, MD is a Internal Medicine healthcare provider located in KAHULUI, Hawaii. NPI 1790949956 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · KAHULUI, HI
Registration Details
- NPI Number
- 1790949956
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 16, 2008 (18.085735257696 yrs)
- Last Updated
- Mar 19, 2019
- Licenses
-
235414 (MA)MD-18353 (HI)
Practice Information
- Address
-
110 E KAAHUMANU AVEKAHULUI, HI, 967322118Browse HI providers · Browse ZIP 96732
- Phone
- 8082426464
- Fax
- 8082432367
- Primary Specialty
-
Internal Medicine
207R00000X
- Additional Specialty
- Internal Medicine
Other Internal Medicine Providers in KAHULUI, HI
| Name | Credential | NPI |
|---|---|---|
| DR. KEVIN K KATO | M.D. | 1649238114 |
| MR. REGINALD GLENN BUESA | MD | 1295787216 |
| RYAN FUSATO | M.D. | 1578580296 |
| GERARD F. LIVAUDAIS | MD | 1376626283 |
| DR. ABDIEL M ANGELES | M.D. | 1295892081 |
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.