Healthcare Provider Details

I. General information

NPI: 1518925155
Provider Name (Legal Business Name): DEAN S NAKAMURA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/03/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1329 LUSITANA ST SUITE 606
HONOLULU HI
96813-2431
US

IV. Provider business mailing address

1329 LUSITANA ST SUITE 606
HONOLULU HI
96813-2431
US

V. Phone/Fax

Practice location:
  • Phone: 808-531-8366
  • Fax: 808-524-8307
Mailing address:
  • Phone: 808-531-8366
  • Fax: 808-524-8307

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number5255
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: