Kida, Derrick Tamotsu

Kida, Derrick Tamotsu is an individual health care provider with primary practice located at 321 N. Kuakini St. Suite #201, Honolulu HI 96817-2399. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Kida, Derrick Tamotsu can be contacted via phone (808) 523-8611.

Contact Information

Primary practice address
321 N. Kuakini St. Suite #201 Honolulu HI 96817-2399
Phone: (808) 523-8611
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD-7657 Hawaii

Profile Details

NPI number 1457449944
LBN Legal business name Kida, Derrick Tamotsu
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457449944 NPPES
Hawaii MEDICAID 04159001

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