Healthcare Provider Details

I. General information

NPI: 1447204862
Provider Name (Legal Business Name): ALAN N OKI MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

98-1079 MOANALUA RD SUITE 300
AIEA HI
96701-4713
US

IV. Provider business mailing address

1585 KAPIOLANI BLVD SUITE 1800
HONOLULU HI
96814-4522
US

V. Phone/Fax

Practice location:
  • Phone: 808-484-2042
  • Fax: 808-487-8324
Mailing address:
  • Phone: 808-948-9305
  • Fax: 808-949-0483

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberMD8371
License Number StateHI

VIII. Authorized Official

Name: ALAN N OKI
Title or Position: PRESIDENT
Credential: M.D.
Phone: 808-484-2042