Provider Demographics
NPI:1023042603
Name:KAMAKA, JOSEPH K III (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:K
Last Name:KAMAKA
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:MR
Other - First Name:JOSEPH
Other - Middle Name:K
Other - Last Name:KAMAKA
Other - Suffix:III
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:99 SOUTH MARKET STREET
Mailing Address - Street 2:
Mailing Address - City:WAILUKU
Mailing Address - State:HI
Mailing Address - Zip Code:96793
Mailing Address - Country:US
Mailing Address - Phone:808-244-5551
Mailing Address - Fax:808-242-0058
Practice Address - Street 1:99 SOUTH MARKET STREET
Practice Address - Street 2:
Practice Address - City:WAILUKU
Practice Address - State:HI
Practice Address - Zip Code:96793
Practice Address - Country:US
Practice Address - Phone:808-244-5551
Practice Address - Fax:808-242-0058
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI5022207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI01596001Medicaid
HI0000BDLTKMedicare PIN
HI01596001Medicaid