Provider Demographics
NPI:1073557096
Name:ONO, DAVID D (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:D
Last Name:ONO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1520 LILIHA ST
Mailing Address - Street 2:#601
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-3564
Mailing Address - Country:US
Mailing Address - Phone:808-523-0445
Mailing Address - Fax:808-523-0442
Practice Address - Street 1:1520 LILIHA ST
Practice Address - Street 2:#601
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-3564
Practice Address - Country:US
Practice Address - Phone:808-523-0445
Practice Address - Fax:808-523-0442
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2007-10-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
HI5303207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI019887-08Medicaid
HI019887-09Medicaid
HI019887-07Medicaid
C2195-0OtherHMSA
HI019887-04Medicaid
HI019887-13Medicaid
HID36215Medicare UPIN
HIH0000BDTSZMedicare PIN