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NPI Code Detail

MEDICARE: DR. KENT SATOSHI YAMAMOTO M.D.

MEDICARE: DR. KENT SATOSHI YAMAMOTO M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208100000XPhysical Medicine & Rehabilitation Physician13878HI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487755583
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KENT SATOSHI YAMAMOTO M.D.
Provider Business Mailing Address
First Line : 2855 E.MANOA RD, STE 105
Second Line : BOX# 200
City : HONOLULU
State : HI
Zip : 96822
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 226 N KUAKINI ST
Second Line :
City : HONOLULU
State : HI
Zip : 96817-2421
Country : US
Telephone Number : 808-544-3368
Fax Number : 808-535-1572
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2006
Last Update Date : 04/20/2026

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