Provider Demographics
NPI:1558374066
Name:NAKAYAMA, DENNY A (MD)
Entity Type:Individual
Prefix:
First Name:DENNY
Middle Name:A
Last Name:NAKAYAMA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 N KUAKINI ST
Mailing Address - Street 2:#814
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-2364
Mailing Address - Country:US
Mailing Address - Phone:808-545-4660
Mailing Address - Fax:808-545-4662
Practice Address - Street 1:321 N KUAKINI ST
Practice Address - Street 2:#814
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-2364
Practice Address - Country:US
Practice Address - Phone:808-545-4660
Practice Address - Fax:808-545-4662
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-4632207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI0000014159OtherHMSA
HI01332001Medicaid
HI01332001Medicaid
HI0000014159OtherHMSA