Provider Demographics
NPI:1366445306
Name:LIOW, KORE K (MD)
Entity Type:Individual
Prefix:DR
First Name:KORE
Middle Name:K
Last Name:LIOW
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 1:642 ULUKAHIKI ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-4400
Mailing Address - Country:US
Mailing Address - Phone:808-261-4476
Mailing Address - Fax:808-263-4476
Practice Address - Street 1:642 ULUKAHIKI ST
Practice Address - Street 2:SUITE 300
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-4400
Practice Address - Country:US
Practice Address - Phone:808-261-4476
Practice Address - Fax:808-263-4476
Is Sole Proprietor?:No
Enumeration Date:2005-05-23
Last Update Date:2011-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04287862084N0400X
HIMD121492084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100384030AMedicaid
HI00A0241420OtherHMSA/BCBS HAWAII
KSH30555Medicare UPIN
KS104132Medicare ID - Type Unspecified