Healthcare Provider Details

I. General information

NPI: 1558374066
Provider Name (Legal Business Name): DENNY A NAKAYAMA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

321 N KUAKINI ST #814
HONOLULU HI
96817-2364
US

IV. Provider business mailing address

321 N KUAKINI ST #814
HONOLULU HI
96817-2364
US

V. Phone/Fax

Practice location:
  • Phone: 808-545-4660
  • Fax: 808-545-4662
Mailing address:
  • Phone: 808-545-4660
  • Fax: 808-545-4662

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberMD-4632
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: