Healthcare Provider Details

I. General information

NPI: 1174577647
Provider Name (Legal Business Name): CALVIN S OISHI M D INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2006
Last Update Date: 10/04/2023
Certification Date: 09/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

98-1247 KAAHUMANU STREET SUITE 203
AIEA HI
96701
US

IV. Provider business mailing address

98-1247 KAAHUMANU STREET SUITE 203
AIEA HI
96701
US

V. Phone/Fax

Practice location:
  • Phone: 808-484-2042
  • Fax: 808-487-8324
Mailing address:
  • Phone: 808-484-2042
  • Fax: 808-487-8324

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberMD7926
License Number StateHI

VIII. Authorized Official

Name: CALVIN S OISHI
Title or Position: PRESIDENT
Credential: M.D.
Phone: 808-484-2042