Provider Demographics
NPI:1295885044
Name:JACHOWSKI, MAILE APAU (MD)
Entity type:Individual
Prefix:DR
First Name:MAILE
Middle Name:APAU
Last Name:JACHOWSKI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MAILE
Other - Middle Name:JEAN APAU
Other - Last Name:JACHOWSKI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:117 OAK KNOLL DR
Mailing Address - Street 2:
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95060-1303
Mailing Address - Country:US
Mailing Address - Phone:703-989-4556
Mailing Address - Fax:
Practice Address - Street 1:1255 HOG BACK RD
Practice Address - Street 2:
Practice Address - City:HAIKU
Practice Address - State:HI
Practice Address - Zip Code:96708-5639
Practice Address - Country:US
Practice Address - Phone:703-989-4556
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-8775208000000X
HIMD 8775208000000X
VA208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIF83127Medicare UPIN