Individual
DR. EMI OTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., PH.D.
Contact information
Practice address
2250 KALAKAUA AVE STE 407, HONOLULU, HI 96815-2546
(808) 367-0513
(808) 367-0514
Mailing address
2250 KALAKAUA AVE STE 407, HONOLULU, HI 96815-2546
(808) 367-0513
(808) 367-0514
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18532
HI
207Q00000X
Family Medicine Physician
MDR-6474
HI
390200000X
Student in an Organized Health Care Education/Training Program
—
HI
Other
Enumeration date
04/15/2013
Last updated
08/29/2016
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