Provider Demographics
NPI:1912447673
Name:OYAMA, HIRAM KIYOSHI
Entity type:Individual
Prefix:MR
First Name:HIRAM
Middle Name:KIYOSHI
Last Name:OYAMA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3045 ALA NAPUAA PL
Mailing Address - Street 2:#1513
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96818-2792
Mailing Address - Country:US
Mailing Address - Phone:808-834-8096
Mailing Address - Fax:808-834-8096
Practice Address - Street 1:3045 ALA NAPUAA PL
Practice Address - Street 2:#1513
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96818-2792
Practice Address - Country:US
Practice Address - Phone:808-834-8096
Practice Address - Fax:808-834-8096
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-28
Last Update Date:2017-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPT-1175225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist