Provider Demographics
NPI:1477555449
Name:KOBAYASHI, LLOYD T (MD)
Entity Type:Individual
Prefix:DR
First Name:LLOYD
Middle Name:T
Last Name:KOBAYASHI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:98-1079 MOANALUA RD
Mailing Address - Street 2:SUITE 450
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701-4713
Mailing Address - Country:US
Mailing Address - Phone:808-488-7747
Mailing Address - Fax:808-484-0760
Practice Address - Street 1:98-1079 MOANALUA RD
Practice Address - Street 2:SUITE 450
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-4713
Practice Address - Country:US
Practice Address - Phone:808-488-7747
Practice Address - Fax:808-484-0760
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-10
Last Update Date:2010-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI3802207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI00381601Medicaid
HIH52702Medicare ID - Type Unspecified
C98485Medicare UPIN