Organization
ROY M KOGA M D INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROY M KOGA M D (OWNER)
(808) 961-2673
Entity
Organization
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
208D00000X
General Practice Physician
Primary
MD-2816
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000040741
BCBS-HMSA
HI
05
—
037014-02
—
HI
Enumeration date
02/20/2008
Last updated
09/24/2010
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