Provider Demographics
NPI:1023050580
Name:HIRO MAKINO MD INC
Entity type:Organization
Organization Name:HIRO MAKINO MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HIRO
Authorized Official - Middle Name:
Authorized Official - Last Name:MAKINO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-223-4889
Mailing Address - Street 1:PO BOX 428
Mailing Address - Street 2:
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701-0428
Mailing Address - Country:US
Mailing Address - Phone:808-223-4889
Mailing Address - Fax:310-539-1243
Practice Address - Street 1:550 S BERETANIA ST
Practice Address - Street 2:SUITE 401
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-2414
Practice Address - Country:US
Practice Address - Phone:808-223-4889
Practice Address - Fax:310-539-1243
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-11
Last Update Date:2013-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD5668207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI53430Medicare UPIN