Provider Demographics
NPI:1043350770
Name:KOBAYASHI, LINCOLN KALANI (MD)
Entity Type:Individual
Prefix:DR
First Name:LINCOLN
Middle Name:KALANI
Last Name:KOBAYASHI
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 1:2228 LILIHA ST
Mailing Address - Street 2:SUITE 204
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-1652
Mailing Address - Country:US
Mailing Address - Phone:808-536-5511
Mailing Address - Fax:
Practice Address - Street 1:2228 LILIHA ST
Practice Address - Street 2:SUITE 204
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-1650
Practice Address - Country:US
Practice Address - Phone:808-536-5511
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-08
Last Update Date:2010-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-3923207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI990209966OtherHMA
HI990209966OtherUNITED HEALTH CARE
HI5207-6OtherHMSA
HI04582501Medicaid
HI990209966OtherHMAA
HIMD-3923OtherMDX
HI201332700OtherFEDERAL WORK COMP
HI990209966OtherSUMMERLIN
HIMD-3923OtherMDX
HIH0000BDHWSMedicare ID - Type Unspecified