Healthcare Provider Details

I. General information

NPI: 1629271416
Provider Name (Legal Business Name): RONSON J SATO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/08/2007
Last Update Date: 10/30/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1329 LUSITANA ST SUITE 704
HONOLULU HI
96813-2429
US

IV. Provider business mailing address

1329 LUSITANA ST SUITE 704
HONOLULU HI
96813-2429
US

V. Phone/Fax

Practice location:
  • Phone: 808-524-2100
  • Fax:
Mailing address:
  • Phone: 808-524-2100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number16537
License Number StateHI
# 2
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number16537
License Number StateHI
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number16537
License Number StateHI
# 4
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number16537
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: