Healthcare Provider Details
I. General information
NPI: 1962724245
Provider Name (Legal Business Name): CHARLES ARAKAKI MD
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/27/2010
Last Update Date: 02/27/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1029 KAPAHULU AVE STE 307
HONOLULU HI
96816-1332
US
IV. Provider business mailing address
820 MILILANI ST STE 702A
HONOLULU HI
96813-2993
US
V. Phone/Fax
- Phone: 808-733-5111
- Fax:
- Phone: 808-523-9363
- Fax: 808-523-9418
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | MD14851 |
| License Number State | HI |
VIII. Authorized Official
Name:
CHARLES
ARAKAKI
Title or Position: OWNER
Credential: MD
Phone: 808-733-5111