Provider Demographics
NPI:1679661177
Name:URAMOTO, GREG YUKIO (MD)
Entity Type:Individual
Prefix:
First Name:GREG
Middle Name:YUKIO
Last Name:URAMOTO
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:SUITE #201
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-2399
Mailing Address - Country:US
Mailing Address - Phone:808-523-8611
Mailing Address - Fax:
Practice Address - Street 1:321 N. KUAKINI ST.
Practice Address - Street 2:SUITE #201
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-2399
Practice Address - Country:US
Practice Address - Phone:808-523-8611
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2014-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-8540208000000X, 2080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI24973201Medicaid
51425Medicare ID - Type Unspecified
G29764Medicare UPIN