Provider Demographics
NPI:1295747343
Name:URAMOTO, KRISTINE M (MD)
Entity type:Individual
Prefix:DR
First Name:KRISTINE
Middle Name:M
Last Name:URAMOTO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 161295
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-0927
Mailing Address - Country:US
Mailing Address - Phone:808-523-2911
Mailing Address - Fax:808-523-2912
Practice Address - Street 1:550 S BERETANIA ST
Practice Address - Street 2:SUITE 514
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-2414
Practice Address - Country:US
Practice Address - Phone:808-523-2911
Practice Address - Fax:808-523-2912
Is Sole Proprietor?:No
Enumeration Date:2006-08-13
Last Update Date:2009-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD8633207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI24974306Medicaid
HI24974306Medicaid
HI100903Medicare ID - Type Unspecified