Healthcare Provider Details

I. General information

NPI: 1194903898
Provider Name (Legal Business Name): JOHN K. UOHARA, M.D., INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2008
Last Update Date: 02/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

82 PUUHONU PL SUITE 205
HILO HI
96720-2010
US

IV. Provider business mailing address

82 PUUHONU PL SUITE 205
HILO HI
96720-2010
US

V. Phone/Fax

Practice location:
  • Phone: 808-961-6608
  • Fax: 808-934-7445
Mailing address:
  • Phone: 808-961-6608
  • Fax: 808-934-7445

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberMD2891
License Number StateHI

VIII. Authorized Official

Name: DR. JOHN K UOHARA
Title or Position: PRESIDENT
Credential: MD
Phone: 808-961-6608