Provider Demographics
NPI:1497195242
Name:KNIGHT, TRISTAN ELLIOT (MD)
Entity type:Individual
Prefix:DR
First Name:TRISTAN
Middle Name:ELLIOT
Last Name:KNIGHT
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1319 PUNAHOU ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96826-1080
Mailing Address - Country:US
Mailing Address - Phone:808-983-6000
Mailing Address - Fax:
Practice Address - Street 1:1319 PUNAHOU ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96826-1080
Practice Address - Country:US
Practice Address - Phone:808-983-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-25
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-241592080P0207X
WAMD611551342080P0207X, 2080P0207X
MI43011093222080P0207X
HI6485390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORMD216472OtherOREGON MEDICAL BOARD
HIMD-24159OtherHAWAII MEDICAL BOARD
WAMD61155134OtherWASHINGTON MEDICAL COMMISSION