Healthcare Provider Details

I. General information

NPI: 1952591430
Provider Name (Legal Business Name): RADIATION ONCOLOGY ASSOCIATES,INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2007
Last Update Date: 01/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 PUNCHBOWL ST
HONOLULU HI
96813-2402
US

IV. Provider business mailing address

PO BOX 306
KAILUA HI
96734-0306
US

V. Phone/Fax

Practice location:
  • Phone: 808-547-4771
  • Fax: 808-547-4507
Mailing address:
  • Phone: 808-395-3562
  • Fax: 808-395-3562

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number2523
License Number StateHI

VIII. Authorized Official

Name: CHARLES H. YAMASHIRO
Title or Position: PRESIDENT
Credential: M.D.
Phone: 808-547-4771