Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PE0004X | Emergency Medical Services | MD2261 | HI |
NPI | 1104841790 |
---|---|
Provider Name | Dr. Patrick K. Okamura |
First Address | Kailua Kona, HI 96740-1929 |
Second Address | Kealakekua, HI 96750-7920 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03374705 | (05) | HI |
C0037295 | SHIELD/HMSA (01) | HI |
C98569 | (02) |