Provider Demographics
NPI:1437612454
Name:UYEDA, MAX MASAMI
Entity Type:Individual
Prefix:
First Name:MAX
Middle Name:MASAMI
Last Name:UYEDA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2036 ALIHILANI PL
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96822-2002
Mailing Address - Country:US
Mailing Address - Phone:808-499-4323
Mailing Address - Fax:
Practice Address - Street 1:1286 KALANI ST STE 205
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-4948
Practice Address - Country:US
Practice Address - Phone:808-499-4323
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-08
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program