IndividualActive
Diana Ottulich, MD
NPI 1629715552 · Military Health Care Provider · Pearl Harbor, HI
Provider details
- NPI number
- 1629715552
- Entity type
- Individual
- Primary specialty
- Military Health Care ProviderOther Service Providers
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 0101280042 (VA)
Specialties & taxonomies
Other Service Providers
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
822 Clark St
Pearl Harbor, HI 96860-4652
Phone: (757) 836-5929
Approximate (ZIP-level) locationGet directions
Mailing address
822 Clark St
Pearl Harbor, HI 96860-4652
Registry dates
- Enumerated
- 2022-05-12
- Last updated
- 2024-05-28
- Certified
- 2024-05-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.