Healthcare Provider Details

I. General information

NPI: 1992012314
Provider Name (Legal Business Name): DENNY A. NAKAYAMA, M.D., INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2010
Last Update Date: 09/07/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

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

IV. Provider business mailing address

321 N KUAKINI ST SUITE 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 Number4632
License Number StateHI

VIII. Authorized Official

Name: DR. DENNY AKIRA NAKAYAMA
Title or Position: PRESIDENT
Credential: M.D.
Phone: 808-545-4660