MEDICARE: DR. RODNEY K. YAMAKI M.D.

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	2084P0800X	Psychiatry Physician	MD-14814	HI
2	2084P0804X	Child & Adolescent Psychiatry Physician	MD-14814	HI

General Provider Information

NPI Number	:	1477760452
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RODNEY K. YAMAKI M.D.

Provider Business Mailing Address
First Line	:	PO BOX 970809
Second Line	:
City	:	WAIPAHU
State	:	HI
Zip	:	96797-0809
Country	:	US
Telephone Number	:	808-664-1104
Fax Number	:	866-592-3149

Provider Business Practice Location Address
First Line	:	99-080 KAUHALE ST STE C22
Second Line	:
City	:	AIEA
State	:	HI
Zip	:	96701-4114
Country	:	US
Telephone Number	:	808-777-0689
Fax Number	:	866-592-3149

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

Provider Enumeration Date	:	05/17/2007
Last Update Date	:	09/22/2011

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