Healthcare Provider Details

I. General information

NPI: 1356718597
Provider Name (Legal Business Name): EKAHI INTEGRATED PRACTICES CENTRAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2015
Last Update Date: 08/24/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

321 N KUAKINI STREET SUITE 201
HONOLULU HI
96817-2399
US

IV. Provider business mailing address

1585 KAPIOLANI BLVD SUITE 1740
HONOLULU HI
96814-4522
US

V. Phone/Fax

Practice location:
  • Phone: 808-523-8611
  • Fax: 808-537-1594
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DEAN HIRATA
Title or Position: MANAGER
Credential:
Phone: 808-948-9552