Provider Demographics
NPI:1043381221
Name:TOYAMA, BARNEY M (MD)
Entity Type:Individual
Prefix:
First Name:BARNEY
Middle Name:M
Last Name:TOYAMA
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:PO BOX 504
Mailing Address - Street 2:
Mailing Address - City:HOLUALOA
Mailing Address - State:HI
Mailing Address - Zip Code:96725-0504
Mailing Address - Country:US
Mailing Address - Phone:808-322-9674
Mailing Address - Fax:808-322-6032
Practice Address - Street 1:79-7393 MAMALAHOA HWY
Practice Address - Street 2:
Practice Address - City:KEALAKEKUA
Practice Address - State:HI
Practice Address - Zip Code:96750-7928
Practice Address - Country:US
Practice Address - Phone:808-322-9674
Practice Address - Fax:808-322-6032
Is Sole Proprietor?:No
Enumeration Date:2006-11-10
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-04341207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI01536-2OtherHMSA
HIMD-04341OtherHMAA
HIMD-04341OtherUHA
HI01439801Medicaid
HIMD-04341OtherHMA
HIMD-04341OtherHMAA
HIH0000BDJPJMedicare ID - Type UnspecifiedNORIDIAN MEDICARE