Provider Demographics
NPI:1659806115
Name:NAOKY C S TSAI MD INC
Entity Type:Organization
Organization Name:NAOKY C S TSAI MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NAOKY
Authorized Official - Middle Name:C S
Authorized Official - Last Name:TSAI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-263-5174
Mailing Address - Street 1:42-127 OLD KALANIANAOLE RD
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-5704
Mailing Address - Country:US
Mailing Address - Phone:808-263-5174
Mailing Address - Fax:808-263-8418
Practice Address - Street 1:642 ULUKAHIKI ST STE 103
Practice Address - Street 2:
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-4418
Practice Address - Country:US
Practice Address - Phone:808-263-5174
Practice Address - Fax:808-263-8418
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-21
Last Update Date:2018-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI3796207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI04806901Medicaid
HI00E0054683OtherHMSA BCBS
HID36446Medicare UPIN
HI04806901Medicaid