Provider Demographics
NPI:1598814048
Name:DEAN S. NAKAMURA, M.D., INC.
Entity Type:Organization
Organization Name:DEAN S. NAKAMURA, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:KAWABATA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:808-531-8366
Mailing Address - Street 1:1329 LUSITANA STREET
Mailing Address - Street 2:SUITE 606
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-2431
Mailing Address - Country:US
Mailing Address - Phone:808-531-8366
Mailing Address - Fax:
Practice Address - Street 1:1329 LUSITANA STREET
Practice Address - Street 2:SUITE 606
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-2431
Practice Address - Country:US
Practice Address - Phone:808-531-8366
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI5255208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIC0019640OtherHMSA
HI018303Medicaid
HI018303Medicaid
HIC98548Medicare UPIN