Provider Demographics
NPI:1952628356
Name:JAMES E. ODA, M.D., INC.
Entity type:Organization
Organization Name:JAMES E. ODA, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:ODA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-536-3805
Mailing Address - Street 1:321 N KUAKINI ST
Mailing Address - Street 2:SUITE 609
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-2364
Mailing Address - Country:US
Mailing Address - Phone:808-536-3805
Mailing Address - Fax:808-524-0459
Practice Address - Street 1:321 N KUAKINI ST
Practice Address - Street 2:SUITE 609
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-2364
Practice Address - Country:US
Practice Address - Phone:808-536-3805
Practice Address - Fax:808-524-0459
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-23
Last Update Date:2010-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI2399207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI1912055344Medicare PIN
1912055344Medicare UPIN