Provider Demographics
NPI:1306830476
Name:HOBBS-OSHIRO, CORAZON C (MD)
Entity Type:Individual
Prefix:DR
First Name:CORAZON
Middle Name:C
Last Name:HOBBS-OSHIRO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94-216 PUPUKAHI ST
Mailing Address - Street 2:
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-2606
Mailing Address - Country:US
Mailing Address - Phone:808-671-2802
Mailing Address - Fax:808-671-2802
Practice Address - Street 1:94-216 PUPUKAHI ST
Practice Address - Street 2:
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-2606
Practice Address - Country:US
Practice Address - Phone:808-671-2802
Practice Address - Fax:808-671-2802
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI2329207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI03356001Medicaid
HI03356001Medicaid
HI000013DFPMedicare ID - Type Unspecified