Provider Demographics
NPI:1326243239
Name:SHINODA, HIROKO (MD)
Entity Type:Individual
Prefix:
First Name:HIROKO
Middle Name:
Last Name:SHINODA
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 1:98-715 IHO PL
Mailing Address - Street 2:4-501
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701-2514
Mailing Address - Country:US
Mailing Address - Phone:808-389-5322
Mailing Address - Fax:808-487-0547
Practice Address - Street 1:651 ILALO ST
Practice Address - Street 2:#401A
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-5525
Practice Address - Country:US
Practice Address - Phone:808-692-1131
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMDR4026207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology