Healthcare Provider Details

I. General information

NPI: 1578084505
Provider Name (Legal Business Name): ANGELICA AGAPITO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANGELICA UYKIM MD

II. Dates (important events)

Enumeration Date: 06/29/2017
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

91-6390 KAPOLEI PKWY
EWA BEACH HI
96706-6380
US

IV. Provider business mailing address

91-6390 KAPOLEI PKWY
EWA BEACH HI
96706-6380
US

V. Phone/Fax

Practice location:
  • Phone: 808-691-8200
  • Fax: 808-691-3955
Mailing address:
  • Phone: 808-691-8200
  • Fax: 808-691-3955

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD-20854
License Number StateHI
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMDR-7376
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: