| Wayne K. Goto, Md, Inc. | |
|
1600 Kapiolani Blvd Ste 1306 Honolulu HI 96814-3805 | |
| (808) 949-7444 | |
| (808) 949-6262 |
| Full Name | Wayne K. Goto, Md, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1600 Kapiolani Blvd Ste 1306, Honolulu, Hawaii |
| Authorized Official Name and Position | Wayne Kay Goto (PRESIDENT) |
| Authorized Official Contact | 8089497444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wayne K. Goto, Md, Inc. 1600 Kapiolani Blvd Ste 1306 Honolulu HI 96814-3805 Ph: (808) 949-7444 | Wayne K. Goto, Md, Inc. 1600 Kapiolani Blvd Ste 1306 Honolulu HI 96814-3805 Ph: (808) 949-7444 |
| NPI Number | 1740321991 |
|---|---|
| Provider Enumeration Date | 02/09/2007 |
| Last Update Date | 10/17/2007 |
| Medicare PECOS PAC ID | 3779579503 |
|---|---|
| Medicare Enrollment ID | O20040426000336 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740321991 | NPI | - | NPPES |
| 05916801 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD6118 (Hawaii) | Primary |
| Provider Name | Wayne K Goto |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073793188 PECOS PAC ID: 1658367495 Enrollment ID: I20040428000529 |
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