Provider Demographics
NPI:1386854545
Name:HAMAMOTO, REID (MD)
Entity Type:Individual
Prefix:DR
First Name:REID
Middle Name:
Last Name:HAMAMOTO
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 1:4-831 KUHIO HWY
Mailing Address - Street 2:STE 438 PMB 331
Mailing Address - City:KAPAA
Mailing Address - State:HI
Mailing Address - Zip Code:96746-1578
Mailing Address - Country:US
Mailing Address - Phone:888-594-0049
Mailing Address - Fax:888-592-2998
Practice Address - Street 1:4-885 KUHIO HWY # A1
Practice Address - Street 2:
Practice Address - City:KAPAA
Practice Address - State:HI
Practice Address - Zip Code:96746-2702
Practice Address - Country:US
Practice Address - Phone:888-594-0049
Practice Address - Fax:888-592-2998
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2014-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI140972084P0804X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No208000000XAllopathic & Osteopathic PhysiciansPediatrics