MEDICARE: DR. JOEL R OKAZAKI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	MD5551	HI

General Provider Information

NPI Number	:	1235119850
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOEL R OKAZAKI MD

Provider Business Mailing Address
First Line	:	941 KAMEHAMEHA HWY
Second Line	:	STE 208
City	:	PEARL CITY
State	:	HI
Zip	:	96782-2516
Country	:	US
Telephone Number	:	808-454-5200
Fax Number	:	808-454-5201

Provider Business Practice Location Address
First Line	:	912141 FORT WEAVER RD
Second Line	:
City	:	EWA BEACH
State	:	HI
Zip	:	96706
Country	:	US
Telephone Number	:	808-678-7037
Fax Number	:	808-678-7039

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/19/2006
Last Update Date	:	07/12/2007

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