| Jinichi Tokeshi, M.d., Inc. | |
|
405 N Kuakini Street Suite 707 Honolulu HI 96817-6302 | |
| (808) 536-3267 | |
| (808) 536-3947 |
| Full Name | Jinichi Tokeshi, M.d., Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 405 N Kuakini Street, Honolulu, Hawaii |
| Authorized Official Name and Position | Jinichi Tokeshi (PRESIDENT) |
| Authorized Official Contact | 8085363267 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jinichi Tokeshi, M.d., Inc. 405 N Kuakini Street Suite 707 Honolulu HI 96817-6302 Ph: (808) 536-3267 | Jinichi Tokeshi, M.d., Inc. 405 N Kuakini Street Suite 707 Honolulu HI 96817-6302 Ph: (808) 536-3267 |
| NPI Number | 1790974020 |
|---|---|
| Provider Enumeration Date | 10/23/2007 |
| Last Update Date | 11/26/2007 |
| Medicare PECOS PAC ID | 2567550395 |
|---|---|
| Medicare Enrollment ID | O20071113000202 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790974020 | NPI | - | NPPES |
| 03940101 | Medicaid | HI | |
| MD3210 | Other | HI | QUEENS HEALTHCARE |
| 04320-8 | Other | HI | HMSA (BCBS) |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 3210 (Hawaii) | Primary |
| Provider Name | Jinichi Tokeshi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265451405 PECOS PAC ID: 9133145014 Enrollment ID: I20051020000152 |
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