npidexNPI registry + Medicare data

DIANA OTTULICH, MD

Military Health Care Provider · PEARL HARBOR, HI

Individual Active NPI 1629715552

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Military Health Care Provider171000000X✓0101280042VA
General Practice Physician208D00000X0101280042VA
Student in an Organized Health Care Education/Training Program390200000X——

Medicare eligibility

Part B
No
DME
Yes
Home health
No
Power mobility
Yes
Hospice
No

Other Military Health Care Provider providers in Hawaii

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.