Provider Demographics
NPI:1073793188
Name:GOTO, WAYNE KAY (MD)
Entity Type:Individual
Prefix:DR
First Name:WAYNE
Middle Name:KAY
Last Name:GOTO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1600 KAPIOLANI BLVD
Mailing Address - Street 2:SUITE 1306
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-3805
Mailing Address - Country:US
Mailing Address - Phone:808-949-7444
Mailing Address - Fax:808-949-6262
Practice Address - Street 1:1600 KAPIOLANI BLVD
Practice Address - Street 2:SUITE 1306
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-3805
Practice Address - Country:US
Practice Address - Phone:808-949-7444
Practice Address - Fax:808-949-6262
Is Sole Proprietor?:No
Enumeration Date:2007-11-06
Last Update Date:2007-11-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
HIMD61182084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIH56267Medicare PIN