Koga, Roy
Koga, Roy is an sole proprietor health care provider with primary practice located at 670 Ponahawai St Ste 120 , Hilo HI 96720-2660. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Koga, Roy can be contacted via phone (808) 961-2673.Contact Information
Primary practice address
670 Ponahawai St Ste 120
Hilo HI 96720-2660
Phone: (808) 961-2673
Fax: (808) 961-3051
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD2816 | Hawaii |
Profile Details
| NPI number | 1164511309 |
|---|---|
| LBN Legal business name | Koga, Roy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 12th, 2006 |
| Last updated | Sep 1st, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164511309 | NPPES |
| Hawaii | Other | 04074-1 | HMSA BCBS |
| Hawaii | MEDICAID | 037014-02 | HMSA BCBS |
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