Provider Demographics
NPI:1902000532
Name:YAMAMOTO, KALANI TERUO (MD)
Entity Type:Individual
Prefix:DR
First Name:KALANI
Middle Name:TERUO
Last Name:YAMAMOTO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2226 LILIHA ST STE 306
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-1605
Mailing Address - Country:US
Mailing Address - Phone:808-531-5711
Mailing Address - Fax:808-531-5722
Practice Address - Street 1:2226 LILIHA ST STE 306
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-1605
Practice Address - Country:US
Practice Address - Phone:808-531-5711
Practice Address - Fax:808-531-5722
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2012-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD14418207RN0300X
WAMD60017322207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology