Individual
DR. KEITH K. OGASAWARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3200 CHANNING WAY STE A102, IDAHO FALLS, ID 83404-7561
(208) 528-2925
Mailing address
3974 OLD PALI RD, HONOLULU, HI 96817-1009
(808) 284-1343
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
M-16831
ID
207VM0101X
Maternal & Fetal Medicine Physician
MD-7527
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C0207468
HMSA BILLING NUMBER
HI
05
—
078671-02
—
HI
Enumeration date
09/25/2006
Last updated
09/06/2022
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