Provider Demographics
NPI:1023202843
Name:KAMINSKAS, DAVID A (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:A
Last Name:KAMINSKAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:642 ULUKAHIKI STREET
Mailing Address - Street 2:SUITE 300
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-4439
Mailing Address - Country:US
Mailing Address - Phone:808-261-4476
Mailing Address - Fax:808-263-4476
Practice Address - Street 1:642 ULUKAHIKI STREET
Practice Address - Street 2:SUITE 300
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-4439
Practice Address - Country:US
Practice Address - Phone:808-261-4476
Practice Address - Fax:808-263-4476
Is Sole Proprietor?:No
Enumeration Date:2007-09-05
Last Update Date:2012-05-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG820982084N0400X, 208D00000X
HIMD84432084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
FM7642Medicare UPIN