Provider Demographics
NPI:1821082736
Name:KAMEMOTO, EUGENE HIROSHI (MD)
Entity Type:Individual
Prefix:DR
First Name:EUGENE
Middle Name:HIROSHI
Last Name:KAMEMOTO
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:#604
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-2364
Mailing Address - Country:US
Mailing Address - Phone:808-545-7727
Mailing Address - Fax:808-532-2822
Practice Address - Street 1:321 N KUAKINI ST
Practice Address - Street 2:#604
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-2364
Practice Address - Country:US
Practice Address - Phone:808-545-7727
Practice Address - Fax:808-532-2822
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI5545207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
A24362OtherHMSA
HI022010-01Medicaid
C98476Medicare UPIN
A24362OtherHMSA