Provider Demographics
NPI:1720108376
Name:HOWARD S. MINAMI, M.D., INC.
Entity Type:Organization
Organization Name:HOWARD S. MINAMI, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:S
Authorized Official - Last Name:MINAMI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-599-2500
Mailing Address - Street 1:1329 LUSITANA ST STE 605
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-2431
Mailing Address - Country:US
Mailing Address - Phone:808-599-2500
Mailing Address - Fax:808-599-3777
Practice Address - Street 1:1329 LUSITANA ST STE 605
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-2431
Practice Address - Country:US
Practice Address - Phone:808-599-2500
Practice Address - Fax:808-599-3777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2007-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD4459174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIH102491Medicare PIN
HID36199Medicare UPIN