Provider Demographics
NPI:1265451405
Name:TOKESHI, JINICHI (MD)
Entity Type:Individual
Prefix:
First Name:JINICHI
Middle Name:
Last Name:TOKESHI
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 1:405 N KUAKINI ST
Mailing Address - Street 2:SUITE 707
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-6300
Mailing Address - Country:US
Mailing Address - Phone:808-536-3267
Mailing Address - Fax:808-536-3947
Practice Address - Street 1:405 N KUAKINI ST
Practice Address - Street 2:SUITE 707
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-6300
Practice Address - Country:US
Practice Address - Phone:808-536-3267
Practice Address - Fax:808-536-3947
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2014-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI3210207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI03940101Medicaid
HI043208OtherHMSA BCBS
HIMD3210OtherQUEENS HEALTHCARE
C98961Medicare UPIN
HI03940101Medicaid