Provider Demographics
NPI:1265486518
Name:KOMEYA, MICHAEL YOICHI (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:YOICHI
Last Name:KOMEYA
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 1:550 HALEKAUWILA ST
Mailing Address - Street 2:SUITE 307
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-5035
Mailing Address - Country:US
Mailing Address - Phone:808-545-5902
Mailing Address - Fax:808-545-5932
Practice Address - Street 1:550 HALEKAUWILA ST
Practice Address - Street 2:SUITE 307
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-5035
Practice Address - Country:US
Practice Address - Phone:808-545-5902
Practice Address - Fax:808-545-5932
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-20
Last Update Date:2014-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD86562084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI00C0200349OtherHMSA
HIMD8656-01OtherMDX HAWAII
HI00C0200349OtherHMSA-QUEST
HI990298651-96706-E035OtherTRICARE
HI08776801Medicaid
HI087768-02Medicaid
HI3826OtherALOHACARE
HI00C0200349OtherHMSA-QUEST
HIG02531Medicare UPIN
HIMD8656-01OtherMDX HAWAII