Healthcare Provider Details
I. General information
NPI: 1578427233
Provider Name (Legal Business Name): YOONHWAN ROH, MD, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1580 MAKALOA ST STE 1005
HONOLULU HI
96814-3259
US
IV. Provider business mailing address
1580 MAKALOA ST STE 1005
HONOLULU HI
96814-3259
US
V. Phone/Fax
- Phone: 808-389-7796
- Fax:
- Phone: 808-389-7796
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
YOONHWAN
ROH
Title or Position: CEO
Credential: MD
Phone: 808-428-3660