| Joey Y. Kohatsu, M.d., Llc | |
|
1329 Lusitana St Ste 303 Honolulu HI 96813-2411 | |
| (808) 807-0311 | |
| (808) 807-0322 |
| Full Name | Joey Y. Kohatsu, M.d., Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1329 Lusitana St Ste 303, Honolulu, Hawaii |
| Authorized Official Name and Position | Joey Yoshio Kohatsu (PHYSICIAN / OWNER) |
| Authorized Official Contact | 8082554259 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joey Y. Kohatsu, M.d., Llc 1329 Lusitana St Ste 303 Honolulu HI 96813-2411 Ph: (808) 807-0311 | Joey Y. Kohatsu, M.d., Llc 1329 Lusitana St Ste 303 Honolulu HI 96813-2411 Ph: (808) 807-0311 |
| NPI Number | 1447519293 |
|---|---|
| Provider Enumeration Date | 05/15/2012 |
| Last Update Date | 11/30/2021 |
| Medicare PECOS PAC ID | 7517356488 |
|---|---|
| Medicare Enrollment ID | O20211115001800 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447519293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 15549 (Hawaii) | Primary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | 15549 (Hawaii) | Secondary |
| Provider Name | Joey Y Kohatsu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538365127 PECOS PAC ID: 0840323184 Enrollment ID: I20100806000275 |
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