Provider Demographics
NPI:1568405058
Name:MORITA, AARON (MD, FACP)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:
Last Name:MORITA
Suffix:
Gender:M
Credentials:MD, FACP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:670 PONAHAWAI ST
Mailing Address - Street 2:STE 223
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720-7829
Mailing Address - Country:US
Mailing Address - Phone:808-935-5411
Mailing Address - Fax:
Practice Address - Street 1:670 PONAHAWAI ST
Practice Address - Street 2:STE 223
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-7829
Practice Address - Country:US
Practice Address - Phone:808-935-5411
Practice Address - Fax:808-935-5413
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-13
Last Update Date:2018-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI4969207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI01669701Medicaid
HIH0000BDSFLOtherMEDICARE PROVIDER ID NO.
99-0287253OtherFEDERAL EMPLOYER ID NO.