Provider Demographics
NPI:1194903898
Name:JOHN K. UOHARA, M.D., INC
Entity type:Organization
Organization Name:JOHN K. UOHARA, M.D., INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:K
Authorized Official - Last Name:UOHARA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-961-6608
Mailing Address - Street 1:82 PUUHONU PL
Mailing Address - Street 2:SUITE 205
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720-2010
Mailing Address - Country:US
Mailing Address - Phone:808-961-6608
Mailing Address - Fax:808-934-7445
Practice Address - Street 1:82 PUUHONU PL
Practice Address - Street 2:SUITE 205
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-2010
Practice Address - Country:US
Practice Address - Phone:808-961-6608
Practice Address - Fax:808-934-7445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-05
Last Update Date:2008-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD2891174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI4088-1OtherHMSA
HI4088-1OtherHMSA
HIC98664Medicare UPIN