Provider Demographics
NPI:1700016557
Name:HO, PETER
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:
Last Name:HO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 S KUKUI ST
Mailing Address - Street 2:D1207
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-2310
Mailing Address - Country:US
Mailing Address - Phone:808-343-5593
Mailing Address - Fax:
Practice Address - Street 1:55 S KUKUI ST
Practice Address - Street 2:D1207
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-2310
Practice Address - Country:US
Practice Address - Phone:808-343-5593
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-15
Last Update Date:2009-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMDR5665207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine