Healthcare Provider Details

I. General information

NPI: 1184288102
Provider Name (Legal Business Name): YOONHWAN ROH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2019
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 WARD AVE STE 700
HONOLULU HI
96814-1617
US

IV. Provider business mailing address

1580 MAKALOA ST STE 1005
HONOLULU HI
96814-3259
US

V. Phone/Fax

Practice location:
  • Phone: 808-544-2600
  • Fax:
Mailing address:
  • Phone: 808-389-7796
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD22635
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: