Provider Demographics
NPI:1194192682
Name:EKAHI INTEGRATED PRACTICES WEST LLC
Entity Type:Organization
Organization Name:EKAHI INTEGRATED PRACTICES WEST LLC
Other - Org Name:EKAHI INTEGRATED PRACTICES WEST - 200
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DEAN
Authorized Official - Middle Name:K
Authorized Official - Last Name:HIRATA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-948-9552
Mailing Address - Street 1:85-910 FARRINGTON HWY
Mailing Address - Street 2:SUITE 102
Mailing Address - City:WAIANAE
Mailing Address - State:HI
Mailing Address - Zip Code:96792-2651
Mailing Address - Country:US
Mailing Address - Phone:808-696-4044
Mailing Address - Fax:
Practice Address - Street 1:85-910 FARRINGTON HWY
Practice Address - Street 2:SUITE 102
Practice Address - City:WAIANAE
Practice Address - State:HI
Practice Address - Zip Code:96792-2651
Practice Address - Country:US
Practice Address - Phone:808-696-4044
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EKAHI HEALTH SYSTEMS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-08-31
Last Update Date:2015-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty