Healthcare Provider Details

I. General information

NPI: 1104909670
Provider Name (Legal Business Name): JOHN K UOHARA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: JOHN K UOHARA, M.D., INC. MD

II. Dates (important events)

Enumeration Date: 10/20/2006
Last Update Date: 01/18/2008
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 Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMD2891
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: