IndividualActive
Tad Jackson, MD
NPI 1497722151 · Pulmonary Disease Physician · Lihue, HI
Provider details
- NPI number
- 1497722151
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 10307 (HI)
Mailing address
Po Box 3070
Lihue, HI 96766-6070
Registry dates
- Enumerated
- 2006-03-01
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.