Provider Demographics
NPI:1790772580
Name:KAICHI, AARON S (MD)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:S
Last Name:KAICHI
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 1:94-873 FARRINGTON HWY
Mailing Address - Street 2:SUITE 103
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-3150
Mailing Address - Country:US
Mailing Address - Phone:808-677-0774
Mailing Address - Fax:808-677-7872
Practice Address - Street 1:94-873 FARRINGTON HWY
Practice Address - Street 2:SUITE 103
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-3150
Practice Address - Country:US
Practice Address - Phone:808-677-0774
Practice Address - Fax:808-677-7872
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-05
Last Update Date:2010-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD04870207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI17855OtherHMSA
HI01668601Medicaid
HI01668601Medicaid
BDLCJMedicare ID - Type Unspecified
HIH0000BDLCJMedicare PIN