Provider Demographics
NPI:1245471382
Name:HIRO MAKINO MD INC
Entity type:Organization
Organization Name:HIRO MAKINO MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:HIRO
Authorized Official - Middle Name:
Authorized Official - Last Name:MAKINO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-486-6116
Mailing Address - Street 1:98-1079 MOANALUA RD STE 655
Mailing Address - Street 2:
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701-4724
Mailing Address - Country:US
Mailing Address - Phone:808-486-6116
Mailing Address - Fax:808-486-7987
Practice Address - Street 1:98-1079 MOANALUA RD STE 655
Practice Address - Street 2:
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-4724
Practice Address - Country:US
Practice Address - Phone:808-486-6116
Practice Address - Fax:808-486-7987
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-19
Last Update Date:2009-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory