Provider Demographics
NPI:1467494732
Name:MAKINO, HIRO (MD)
Entity type:Individual
Prefix:DR
First Name:HIRO
Middle Name:
Last Name:MAKINO
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 1:98-1247 KAAHUMANU ST
Mailing Address - Street 2:SUITE 208
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701-5311
Mailing Address - Country:US
Mailing Address - Phone:808-486-6116
Mailing Address - Fax:808-486-7987
Practice Address - Street 1:98-1247 KAAHUMANU ST
Practice Address - Street 2:SUITE 208
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-5311
Practice Address - Country:US
Practice Address - Phone:808-486-6116
Practice Address - Fax:808-486-7987
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2021-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD5668207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI055626Medicaid
HIH53431Medicare PIN
HI055626Medicaid