Healthcare Provider Details

I. General information

NPI: 1851497770
Provider Name (Legal Business Name): NAOTO UENO M.D. PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2006
Last Update Date: 01/31/2023
Certification Date: 01/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 ILALO ST
HONOLULU HI
96813-5516
US

IV. Provider business mailing address

701 ILALO ST
HONOLULU HI
96813-5516
US

V. Phone/Fax

Practice location:
  • Phone: 808-586-5854
  • Fax: 808-586-5857
Mailing address:
  • Phone: 808-586-3013
  • Fax: 808-586-5857

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License NumberJ4676
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License NumberMD-23176
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: