Provider Demographics
NPI:1093585770
Name:KAREN J. NAKAMOTO, MD
Entity Type:Organization
Organization Name:KAREN J. NAKAMOTO, MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL BILLING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:TATUM
Authorized Official - Middle Name:
Authorized Official - Last Name:LABRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-430-5654
Mailing Address - Street 1:82 PUUHONU PL STE 208
Mailing Address - Street 2:
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720-2010
Mailing Address - Country:US
Mailing Address - Phone:808-935-7765
Mailing Address - Fax:808-969-7990
Practice Address - Street 1:82 PUUHONU PL STE 208
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-2010
Practice Address - Country:US
Practice Address - Phone:808-935-7765
Practice Address - Fax:808-969-7990
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-04
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty