Organization
CORA S TASAKI MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORA S TASAKI MD INC (OWNER)
(808) 244-6776
Entity
Organization
Contact information
Practice address
1885 MAIN ST, SUITE 205, WAILUKU, HI 96793-1819
(808) 244-6776
(808) 244-6005
Mailing address
1885 MAIN ST STE 205, WAILUKU, HI 96793-1827
(808) 244-6776
(808) 244-6005
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD8162
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50132101
—
HI
Enumeration date
05/23/2006
Last updated
04/05/2023
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