Otaka, Dean K.
Otaka, Dean K. is an individual health care provider with primary practice located at 98-1247 Kaahumanu St Suite 115, Aiea HI 96701-5311. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Otaka, Dean K. can be contacted via phone (808) 486-5556.Contact Information
Primary practice address
98-1247 Kaahumanu St Suite 115
Aiea HI 96701-5311
Phone: (808) 486-5556
Fax: (808) 486-5586
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 10822 | Hawaii |
Profile Details
| NPI number | 1528079134 |
|---|---|
| LBN Legal business name | Otaka, Dean K. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Dec 11th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528079134 | NPPES |
| Hawaii | Other | 0020533 | HMSA |
| Hawaii | Other | 99-0358001 | HMSA |
| Hawaii | Other | 499138 | HMSA |
| Hawaii | MEDICAID | 49913802 | HMSA |
| Hawaii | Other | 99-0358001 | HMSA |
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