Provider Demographics
NPI:1245214618
Name:TSAI, NAOKY C (MD)
Entity Type:Individual
Prefix:
First Name:NAOKY
Middle Name:C
Last Name:TSAI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42-127 OLD KALANIANAOLE RD
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-5704
Mailing Address - Country:US
Mailing Address - Phone:808-263-5174
Mailing Address - Fax:808-266-3614
Practice Address - Street 1:642 ULUKAHIKI ST
Practice Address - Street 2:STE 103
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-4400
Practice Address - Country:US
Practice Address - Phone:808-263-5174
Practice Address - Fax:808-266-3614
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-30
Last Update Date:2007-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI3796207RG0100X, 207RI0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207RI0008XAllopathic & Osteopathic PhysiciansInternal MedicineHepatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI00E0054683OtherHMJA BCBS
HI04806901Medicaid
HI04806901Medicaid
HI00E0054683OtherHMJA BCBS