Individual
DR. ROY KOGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
670 PONAHAWAI ST STE 120, HILO, HI 96720-2660
(808) 961-2673
(808) 961-3051
Mailing address
670 PONAHAWAI ST STE 120, HILO, HI 96720-2660
(808) 961-2673
(808) 961-3051
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD2816
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037014-02
—
HI
01
—
04074-1
HMSA BCBS
HI
Enumeration date
10/12/2006
Last updated
09/01/2010
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