Provider Demographics
NPI:1215181516
Name:YAMAUCHI, HIDEKO (MD)
Entity Type:Individual
Prefix:
First Name:HIDEKO
Middle Name:
Last Name:YAMAUCHI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1329 LUSITANA ST STE 803
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-2434
Mailing Address - Country:US
Mailing Address - Phone:808-686-4750
Mailing Address - Fax:808-686-2224
Practice Address - Street 1:1329 LUSITANA ST STE 803
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-2434
Practice Address - Country:US
Practice Address - Phone:808-686-4750
Practice Address - Fax:808-686-2224
Is Sole Proprietor?:No
Enumeration Date:2008-11-13
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME97649208600000X
HILICN-001041469208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery