Healthcare Provider Details

I. General information

NPI: 1235373622
Provider Name (Legal Business Name): ROY KUNIAKI ESAKI M.D., M.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2009
Last Update Date: 12/23/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 S BERETANIA ST STE 703
HONOLULU HI
96813-2496
US

IV. Provider business mailing address

550 S BERETANIA ST STE 703
HONOLULU HI
96813-2496
US

V. Phone/Fax

Practice location:
  • Phone: 808-691-5390
  • Fax:
Mailing address:
  • Phone: 808-691-5390
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberMD 17991
License Number StateHI
# 2
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberMD 17991
License Number StateHI
# 3
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberA113437
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: