Provider Demographics
NPI:1093751166
Name:ONO, WARREN I (MD)
Entity Type:Individual
Prefix:
First Name:WARREN
Middle Name:I
Last Name:ONO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3465 WAIALAE AVE 4TH FLOOR
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-2660
Mailing Address - Country:US
Mailing Address - Phone:808-432-9216
Mailing Address - Fax:808-533-1482
Practice Address - Street 1:KUAKINI MEDICAL PLAZA
Practice Address - Street 2:321 N KUAKINI ST STE#714
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817
Practice Address - Country:US
Practice Address - Phone:808-528-3606
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2007-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI04628207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI01277001Medicaid
HI0000013490OtherHMSA BCBS HAWAII
HI0000013490OtherHMSA BCBS HAWAII
HIC98880Medicare UPIN