Provider Demographics
NPI:1245309020
Name:JOSE, ERMA F (MD)
Entity type:Individual
Prefix:DR
First Name:ERMA
Middle Name:F
Last Name:JOSE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:46-056 KAMEHAMEHA HWY
Mailing Address - Street 2:SUITE 221
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-3755
Mailing Address - Country:US
Mailing Address - Phone:808-233-6200
Mailing Address - Fax:808-233-6255
Practice Address - Street 1:46-056 KAMEHAMEHA HWY
Practice Address - Street 2:SUITE 221
Practice Address - City:KANEOHE
Practice Address - State:HI
Practice Address - Zip Code:96744-3755
Practice Address - Country:US
Practice Address - Phone:808-233-6200
Practice Address - Fax:808-233-6255
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2012-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-9792207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI002336Medicaid
HI00D0211633OtherHMSA
HI9685444OtherUHA
HI00D0211633OtherHMSA
HIG50468Medicare UPIN