Healthcare Provider Details

I. General information

NPI: 1164326963
Provider Name (Legal Business Name): COLE NISHIKAWA MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

347 N KUAKINI ST STE 800
HONOLULU HI
96817-2306
US

IV. Provider business mailing address

347 N KUAKINI ST HALE PULAMA MAU SUITE 800
HONOLULU HI
96817-2306
US

V. Phone/Fax

Practice location:
  • Phone: 808-547-9105
  • Fax: 808-547-9154
Mailing address:
  • Phone: 808-547-9105
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. COLE NISHIKAWA
Title or Position: MANAGER
Credential: MD
Phone: 808-547-9105