Individual
DR. DEAN K. OTAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
98-1247 KAAHUMANU ST, SUITE 115, AIEA, HI 96701-5311
(808) 486-5556
(808) 486-5586
Mailing address
MAIL CODE 61153 P.O.BOX 1300, HONOLULU, HI 96807-1300
(808) 486-5556
(808) 486-5586
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10822
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0020533
HMSA
HI
01
—
499138
QUEST ALOHA CARE
HI
05
—
49913802
—
HI
01
—
99-0358001
HMA
HI
Enumeration date
08/10/2006
Last updated
12/11/2023
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