Provider Demographics
NPI:1235119850
Name:OKAZAKI, JOEL R (MD)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:R
Last Name:OKAZAKI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:941 KAMEHAMEHA HWY
Mailing Address - Street 2:STE 208
Mailing Address - City:PEARL CITY
Mailing Address - State:HI
Mailing Address - Zip Code:96782-2516
Mailing Address - Country:US
Mailing Address - Phone:808-454-5200
Mailing Address - Fax:808-454-5201
Practice Address - Street 1:912141 FORT WEAVER RD
Practice Address - Street 2:
Practice Address - City:EWA BEACH
Practice Address - State:HI
Practice Address - Zip Code:96706
Practice Address - Country:US
Practice Address - Phone:808-678-7037
Practice Address - Fax:808-678-7039
Is Sole Proprietor?:No
Enumeration Date:2006-01-19
Last Update Date:2007-07-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
HIMD55512085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology