Healthcare Provider Details

I. General information

NPI: 1366557951
Provider Name (Legal Business Name): CARL O HO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/21/2006
Last Update Date: 12/20/2025
Certification Date: 12/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4159 PAPU CIR
HONOLULU HI
96816-4836
US

IV. Provider business mailing address

PO BOX 10715
HONOLULU HI
96816-0715
US

V. Phone/Fax

Practice location:
  • Phone: 808-395-8383
  • Fax: 808-395-0143
Mailing address:
  • Phone: 808-395-9300
  • Fax: 808-395-9300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberMD-6806
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: