Individual
KEN NAGAMORI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1319 PUNAHOU ST, SUITE 1030, HONOLULU, HI 96826-1077
(808) 955-7772
(808) 955-0789
Mailing address
1319 PUNAHOU ST, SUITE 1030, HONOLULU, HI 96826-1001
(808) 955-7772
(808) 955-0789
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
5279
HI
2080P0206X
Pediatric Gastroenterology Physician
5279
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00188310
ALOHA CARE
HI
05
—
01883101
—
HI
01
—
A20220
HMSA
HI
01
—
MD5279
MDX
HI
Enumeration date
10/24/2006
Last updated
01/27/2011
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