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Individual

DR. MARI K OTSUKA I

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
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
MD4561
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0-01330-0
HMSA PROVIDER NUMBER
HI
05
01259401
HI
01
110179329
RAILROAD MEDICARE NUMBER
HI
01
A01330-8
HMSA PROVIDER NUMBER
HI
Enumeration date
06/27/2005
Last updated
11/07/2007
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