Provider Demographics
NPI:1851497770
Name:UENO, NAOTO (MD PHD)
Entity Type:Individual
Prefix:
First Name:NAOTO
Middle Name:
Last Name:UENO
Suffix:
Gender:M
Credentials:MD PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 ILALO ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-5516
Mailing Address - Country:US
Mailing Address - Phone:808-586-3013
Mailing Address - Fax:808-586-5857
Practice Address - Street 1:701 ILALO ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-5516
Practice Address - Country:US
Practice Address - Phone:808-586-5854
Practice Address - Fax:808-586-5857
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ4676207RX0202X
HIMD-23176207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX82M421OtherBCBS
TX103276501Medicaid
TX82M421Medicare PIN
TX82M421OtherBCBS