Provider Demographics
NPI:1477551174
Name:CHALMERS K. HAMASAKI, M.D., INC.
Entity Type:Organization
Organization Name:CHALMERS K. HAMASAKI, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, VICE PRESIDENT, SEC., TR
Authorized Official - Prefix:DR
Authorized Official - First Name:CHALMERS
Authorized Official - Middle Name:K
Authorized Official - Last Name:HAMASAKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-961-6031
Mailing Address - Street 1:251 KUKUAU ST
Mailing Address - Street 2:
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720-2619
Mailing Address - Country:US
Mailing Address - Phone:808-961-6031
Mailing Address - Fax:808-961-6032
Practice Address - Street 1:251 KUKUAU ST
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-2619
Practice Address - Country:US
Practice Address - Phone:808-961-6031
Practice Address - Fax:808-961-6032
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-07
Last Update Date:2012-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD 2338163WX0601X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WX0601XNursing Service ProvidersRegistered NurseOtorhinolaryngology & Head-NeckGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI03661801Medicaid
HIA0040343OtherHAWAII MEDICARE SER. ASSN
HI03661801Medicaid
C98453Medicare UPIN