Provider Demographics
NPI:1457006181
Name:KAMA, SHAUN K (COVID TESTS)
Entity Type:Individual
Prefix:
First Name:SHAUN
Middle Name:K
Last Name:KAMA
Suffix:
Gender:M
Credentials:COVID TESTS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:74 KIHAPAI STREET
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734
Mailing Address - Country:US
Mailing Address - Phone:808-979-4901
Mailing Address - Fax:
Practice Address - Street 1:74 KIHAPAI STREET
Practice Address - Street 2:
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734
Practice Address - Country:US
Practice Address - Phone:808-979-4901
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-22
Last Update Date:2022-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIS00215306OtherSTATE ID