Organization
SUSAN S. HIRAOKA, DPM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN S HIRAOKA D.P.M (PHYSICAN)
(808) 261-9931
Entity
Organization
Contact information
Practice address
642 ULUKAHIKI ST, SUITE 207, KAILUA, HI 96734-4400
(808) 261-9931
(808) 262-9986
Mailing address
642 ULUKAHIKI ST, SUITE 207, KAILUA, HI 96734-4400
(808) 261-9931
(808) 262-9986
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
PO-155
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23066-4
HMSA
HI
01
—
464973
OHANA HEALTH
HI
05
—
501074
—
HI
Enumeration date
12/05/2012
Last updated
12/05/2012
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