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CORA S TASAKI MD INC NPI 1033164611


NPI Information

NPI: 1033164611
Provider Name: CORA S TASAKI MD INC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1885 MAIN ST
SUITE 205
WAILUKU, HI
ZIP 96793
Phone: (808) 244-6776
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CORA S TASAKI MD INC is a specialist in Wailuku, HI. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CORA S TASAKI MD INC NPI is 1033164611. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1885 MAIN ST
SUITE 205
WAILUKU, HI
ZIP 96793-819
Phone: (808) 244-6776
Fax: (808) 244-6005

The provider's authorized official is Cora S Tasaki .
The authorized official title is Owner and has the following contact phone number (808) 244-6776.

The enumeration date for this NPI number is 5/23/2006 and was last updated on 4/5/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistMD8162HAWAIIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
150132101MEDICAIDHAWAII

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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