Individual
DR. CLIVE I OTSUKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
321 N KUAKINI ST, STE 811, HONOLULU, HI 96817-2362
(808) 531-2731
(808) 521-2136
Mailing address
321 N KUAKINI ST, STE 811, HONOLULU, HI 96817-2362
(808) 531-2731
(808) 521-2136
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD4659
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01263801
—
HI
01
—
110114260
RAILROAD MEDICARE NUMBER
HI
01
—
A01334-0
HMSA / BCBS NUMBER
HI
01
—
C01334-6
HMSA / BCBS NUMBER
HI
Enumeration date
06/27/2005
Last updated
11/07/2007
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