Healthcare Provider Details

I. General information

NPI: 1245386325
Provider Name (Legal Business Name): BARBARA D KOBAYASHI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/25/2007
Last Update Date: 09/23/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3360 KAOHINANI DR
HONOLULU HI
96817-1043
US

IV. Provider business mailing address

3360 KAOHINANI DR
HONOLULU HI
96817-1043
US

V. Phone/Fax

Practice location:
  • Phone: 808-595-8402
  • Fax: 808-595-8402
Mailing address:
  • Phone: 808-595-8402
  • Fax: 808-595-8402

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD-4014
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: