Healthcare Provider Details

I. General information

NPI: 1558334185
Provider Name (Legal Business Name): ERIC M OSHIRO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/13/2006
Last Update Date: 05/01/2020
Certification Date: 05/01/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

321 N KUAKINI ST STE 709
HONOLULU HI
96817-2362
US

IV. Provider business mailing address

321 N KUAKINI ST STE 709
HONOLULU HI
96817-2362
US

V. Phone/Fax

Practice location:
  • Phone: 808-536-3671
  • Fax:
Mailing address:
  • Phone: 808-536-3671
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License NumberMD-10001
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: