Yazawa, Kiyotaka Albert

Yazawa, Kiyotaka Albert is an individual health care provider with primary practice located at 1027 Hala Dr Maluhia, Honolulu HI 96817. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Yazawa, Kiyotaka Albert can be contacted via phone (808) 832-6129.

Contact Information

Primary practice address
1027 Hala Dr Maluhia Honolulu HI 96817
Phone: (808) 832-6129
Fax: (808) 832-1932
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X MD-11070 Hawaii

Profile Details

NPI number 1184694192
LBN Legal business name Yazawa, Kiyotaka Albert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Jan 24th, 2013 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184694192 NPPES
Hawaii Other 00B0228664 BLUE CROSS/ BLUE SHIELD
Hawaii MEDICAID 00067495 BLUE CROSS/ BLUE SHIELD

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