Healthcare Provider Details

I. General information

NPI: 1679784904
Provider Name (Legal Business Name): ERIC H.N. KAJIOKA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/25/2007
Last Update Date: 04/28/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 ALA MOANA BLVD TOWER 5, SUITE 300
HONOLULU HI
96813-4920
US

IV. Provider business mailing address

500 ALA MOANA BLVD TOWER 5, SUITE 300
HONOLULU HI
96813-4920
US

V. Phone/Fax

Practice location:
  • Phone: 808-531-7111
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number14299
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: