Provider Demographics
NPI:1548209760
Name:MURAYAMA, KENRIC M (MD)
Entity Type:Individual
Prefix:DR
First Name:KENRIC
Middle Name:M
Last Name:MURAYAMA
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1356 LUSITANA STREET, 6TH FLOOR
Mailing Address - Street 2:DEPARTMENT OF SURGERY
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-3714
Mailing Address - Country:US
Mailing Address - Phone:808-586-8225
Mailing Address - Fax:215-586-3022
Practice Address - Street 1:1329 LUSITANA ST STE 207
Practice Address - Street 2:QUEEN'S POB II
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-2411
Practice Address - Country:US
Practice Address - Phone:808-439-8423
Practice Address - Fax:808-528-3671
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2016-12-28
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Provider Licenses
StateLicense IDTaxonomies
HIMD12309174400000X
PAMD434663208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102165530Medicaid
PA102165530Medicaid