| Emi Ota, M.d., Inc. | |
|
850 W Hind Dr Ste 205 Honolulu HI 96821-1845 | |
| (808) 377-3191 | |
| (808) 377-3192 |
| Full Name | Emi Ota, M.d., Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 850 W Hind Dr Ste 205, Honolulu, Hawaii |
| Authorized Official Name and Position | Emi Ota (PHYSICIAN) |
| Authorized Official Contact | 8083699227 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emi Ota, M.d., Inc. 2235 Hoonanea St Honolulu HI 96822-2489 Ph: (808) 369-9227 | Emi Ota, M.d., Inc. 850 W Hind Dr Ste 205 Honolulu HI 96821-1845 Ph: (808) 377-3191 |
| NPI Number | 1790230480 |
|---|---|
| Provider Enumeration Date | 08/23/2016 |
| Last Update Date | 11/10/2016 |
| Medicare PECOS PAC ID | 3971881210 |
|---|---|
| Medicare Enrollment ID | O20161020002203 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790230480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 18532 (Hawaii) | Primary |
| Provider Name | Emi Ota |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609219112 PECOS PAC ID: 4880972124 Enrollment ID: I20161020002231 |
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