MEDICARE: DR. MARK A MORISAKI 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	207RG0100X	Gastroenterology Physician	11904	HI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	237057	OTHER	HI	HMSA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861441909
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARK A MORISAKI MD

Provider Business Mailing Address
First Line	:	405 N KUAKINI ST STE 1003
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96817-6301
Country	:	US
Telephone Number	:	808-599-6111
Fax Number	:	808-599-6114

Provider Business Practice Location Address
First Line	:	405 N KUAKINI ST STE 1003
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96817-6301
Country	:	US
Telephone Number	:	808-778-9196
Fax Number	:

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

Provider Enumeration Date	:	05/08/2006
Last Update Date	:	08/26/2025

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