Provider Demographics
NPI:1003870478
Name:HAMASAKI, CRAIG YOSHIO (MD)
Entity Type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:YOSHIO
Last Name:HAMASAKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:98-1247 KAAHUMANU STREET
Mailing Address - Street 2:SUITE 224
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701
Mailing Address - Country:US
Mailing Address - Phone:808-486-9119
Mailing Address - Fax:808-486-9401
Practice Address - Street 1:98-1247 KAAHUMANU STREET
Practice Address - Street 2:SUITE 224
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701
Practice Address - Country:US
Practice Address - Phone:808-486-9119
Practice Address - Fax:808-486-9401
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-13
Last Update Date:2020-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-5730207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIH54358Medicare ID - Type UnspecifiedMEDICARE PROVIDER #
C98449Medicare UPIN
54358Medicare PIN