Individual
DR. BERT AKITAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2180 MAIN ST, WAILUKU, HI 96793-1666
(808) 242-6464
(808) 243-2385
Mailing address
2180 MAIN ST, WAILUKU, HI 96793-1666
(808) 242-6464
(808) 243-2385
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD3021
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03820201
ALOHA CARE QUEST
HI
05
—
03820201
—
HI
01
—
528943
UHA
HI
01
—
99017685996798B070
TRICARE
HI
01
—
X41942
HMSA - HMSA QUEST - 65CP
HI
Enumeration date
07/26/2006
Last updated
07/08/2007
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