Provider Demographics
NPI:1750629424
Name:DARREN K EGAMI MD, LLC
Entity Type:Organization
Organization Name:DARREN K EGAMI MD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DARREN
Authorized Official - Middle Name:KEN
Authorized Official - Last Name:EGAMI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-244-7740
Mailing Address - Street 1:1885 MAIN ST STE 104
Mailing Address - Street 2:
Mailing Address - City:WAILUKU
Mailing Address - State:HI
Mailing Address - Zip Code:96793-1827
Mailing Address - Country:US
Mailing Address - Phone:808-244-7740
Mailing Address - Fax:808-244-7754
Practice Address - Street 1:1885 MAIN ST STE 104
Practice Address - Street 2:
Practice Address - City:WAILUKU
Practice Address - State:HI
Practice Address - Zip Code:96793-1827
Practice Address - Country:US
Practice Address - Phone:808-244-7740
Practice Address - Fax:808-244-7754
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-30
Last Update Date:2020-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports MedicineGroup - Single Specialty