Provider Demographics
NPI:1295034866
Name:MURAOKA, NICHOLAS KEN (DO)
Entity Type:Individual
Prefix:
First Name:NICHOLAS
Middle Name:KEN
Last Name:MURAOKA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:226 N KUAKINI ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-2488
Mailing Address - Country:US
Mailing Address - Phone:808-531-3511
Mailing Address - Fax:808-544-3335
Practice Address - Street 1:226 N KUAKINI ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-2488
Practice Address - Country:US
Practice Address - Phone:808-531-3511
Practice Address - Fax:808-544-3335
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-22
Last Update Date:2017-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A133272081P2900X
HIDOS 16852081P2900X, 208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
No2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine