Provider Demographics
NPI:1134300353
Name:GILBERT K. YAMAMOTO, M.D., F.A.C.S., INC.
Entity Type:Organization
Organization Name:GILBERT K. YAMAMOTO, M.D., F.A.C.S., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GILBERT
Authorized Official - Middle Name:KOJI
Authorized Official - Last Name:YAMAMOTO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-531-5993
Mailing Address - Street 1:405 N KUAKINI ST
Mailing Address - Street 2:SUITE 1106
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-6300
Mailing Address - Country:US
Mailing Address - Phone:808-531-5993
Mailing Address - Fax:808-534-4974
Practice Address - Street 1:405 N KUAKINI ST
Practice Address - Street 2:SUITE 1106
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-6300
Practice Address - Country:US
Practice Address - Phone:808-531-5993
Practice Address - Fax:808-534-4974
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-15
Last Update Date:2008-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD 3528261QS0132X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS0132XAmbulatory Health Care FacilitiesClinic/CenterOphthalmologic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIA66925Medicare UPIN