Provider Demographics
NPI:1396714440
Name:WACHI, DENNIS HIROSHI (MD)
Entity type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:HIROSHI
Last Name:WACHI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1441 KAPIOLANI BLVD
Mailing Address - Street 2:SUITE 505
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-4403
Mailing Address - Country:US
Mailing Address - Phone:808-941-2111
Mailing Address - Fax:808-943-0324
Practice Address - Street 1:1441 KAPIOLANI BLVD
Practice Address - Street 2:SUITE 505
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-4403
Practice Address - Country:US
Practice Address - Phone:808-941-2111
Practice Address - Fax:808-943-0324
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2011-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI2742207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine