Provider Demographics
NPI:1861447120
Name:SATO, RENEE LYNAL (MD)
Entity Type:Individual
Prefix:DR
First Name:RENEE
Middle Name:LYNAL
Last Name:SATO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1380 LUSITANA ST STE 504
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-2441
Mailing Address - Country:US
Mailing Address - Phone:808-531-6727
Mailing Address - Fax:808-792-3679
Practice Address - Street 1:1380 LUSITANA ST
Practice Address - Street 2:504
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-2449
Practice Address - Country:US
Practice Address - Phone:808-531-6727
Practice Address - Fax:808-547-4765
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-24
Last Update Date:2021-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD13762207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIMD13762OtherSTATE PHYSICIAN LICENSE