Provider Demographics
NPI:1225153083
Name:KATO, BICH-HA N (DO)
Entity Type:Individual
Prefix:
First Name:BICH-HA
Middle Name:N
Last Name:KATO
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:BICH-HA
Other - Middle Name:
Other - Last Name:TON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:169 MAA ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:KAHULUI
Mailing Address - State:HI
Mailing Address - Zip Code:96732-3603
Mailing Address - Country:US
Mailing Address - Phone:808-877-2020
Mailing Address - Fax:808-877-6060
Practice Address - Street 1:169 MAA ST
Practice Address - Street 2:SUITE B
Practice Address - City:KAHULUI
Practice Address - State:HI
Practice Address - Zip Code:96732-3603
Practice Address - Country:US
Practice Address - Phone:808-877-2020
Practice Address - Fax:808-877-6060
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2014-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDOS-1020207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI555063-01Medicaid
HI0000247700OtherHMSA BILLING NUMBER
HI555063-01Medicaid
HI0000247700OtherHMSA BILLING NUMBER