Individual
ELAINE IMOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
888 S KING ST, STRODE LOWER LEVEL, HONOLULU, HI 96813-3009
(808) 522-4321
Mailing address
PO BOX 283045, HONOLULU, HI 96828-3045
(808) 222-3643
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
7624
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00H0090616
HMSA
HI
01
—
019847556
UHA
—
05
—
069739-13
—
HI
01
—
MD7624-01
MDX
HI
Enumeration date
10/11/2006
Last updated
05/10/2010
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