Provider Demographics
NPI:1932370996
Name:GAIL K. NAKAICHI, D.O. LLC
Entity Type:Organization
Organization Name:GAIL K. NAKAICHI, D.O. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:GAIL
Authorized Official - Middle Name:K
Authorized Official - Last Name:NAKAICHI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:808-261-3337
Mailing Address - Street 1:407 ULUNIU ST STE 111
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-2531
Mailing Address - Country:US
Mailing Address - Phone:808-261-3337
Mailing Address - Fax:808-262-5311
Practice Address - Street 1:407 ULUNIU ST STE 111
Practice Address - Street 2:
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-2531
Practice Address - Country:US
Practice Address - Phone:808-261-3337
Practice Address - Fax:808-262-5311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-18
Last Update Date:2008-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDOS-1024208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIH77852Medicare UPIN