Healthcare Provider Details

I. General information

NPI: 1083791925
Provider Name (Legal Business Name): DIANE M. SAKAI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/31/2006
Last Update Date: 01/26/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

321 N KUAKINI ST SUITE 514
HONOLULU HI
96817-2364
US

IV. Provider business mailing address

321 N KUAKINI ST SUITE 514
HONOLULU HI
96817-2364
US

V. Phone/Fax

Practice location:
  • Phone: 808-533-4274
  • Fax: 808-533-4276
Mailing address:
  • Phone: 808-533-4274
  • Fax: 808-533-4276

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberG63932
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD 9426
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: