Provider Demographics
NPI:1275572299
Name:YOUNG, HIRAM LKH (MD)
Entity Type:Individual
Prefix:DR
First Name:HIRAM
Middle Name:LKH
Last Name:YOUNG
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 1:1029 KAPAHULU AVE
Mailing Address - Street 2:STE 311
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-1332
Mailing Address - Country:US
Mailing Address - Phone:808-733-5111
Mailing Address - Fax:808-733-5122
Practice Address - Street 1:1029 KAPAHULU AVE
Practice Address - Street 2:STE 311
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96816-1332
Practice Address - Country:US
Practice Address - Phone:808-733-5111
Practice Address - Fax:808-733-5122
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-05
Last Update Date:2010-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD 4756207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
C97690Medicare UPIN
101228Medicare ID - Type Unspecified