Provider Demographics
NPI:1679662019
Name:YANAGIHARA, EUGENE TAKAJI (MD)
Entity Type:Individual
Prefix:
First Name:EUGENE
Middle Name:TAKAJI
Last Name:YANAGIHARA
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 1:347 NORTH KUAKINI STREET
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817
Mailing Address - Country:US
Mailing Address - Phone:808-547-9496
Mailing Address - Fax:808-547-9497
Practice Address - Street 1:347 NORTH KUAKINI STREET
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817
Practice Address - Country:US
Practice Address - Phone:808-547-9496
Practice Address - Fax:808-547-9497
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD04677207ZP0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0105XAllopathic & Osteopathic PhysiciansPathologyClinical Pathology/Laboratory Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI01388101Medicaid
HI14795OtherHMSA
HI14795OtherHMSA
E50852Medicare UPIN