Healthcare Provider Details

I. General information

NPI: 1376599688
Provider Name (Legal Business Name): HELENNA NAKAMA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2006
Last Update Date: 01/28/2020
Certification Date: 01/28/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

459 PATTERSON RD, MAILCODE 00HT
HONOLULU HI
96819-1522
US

IV. Provider business mailing address

459 PATTERSON RD, MAILCODE 00HT
HONOLULU HI
96819-1522
US

V. Phone/Fax

Practice location:
  • Phone: 808-538-2534
  • Fax:
Mailing address:
  • Phone: 808-538-2534
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License Number13263
License Number StateHI
# 2
Primary TaxonomyN
Taxonomy Code2084P0805X
TaxonomyGeriatric Psychiatry Physician
License Number13263
License Number StateHI
# 3
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number13263
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: