Basic Information
Provider Information
NPI: 1104147677
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HAYASHI
FirstName: TSUNEARI
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 347 N KUAKINI ST
Address2: HPM-9
City: HONOLULU
State: HI
PostalCode: 968172336
CountryCode: US
TelephoneNumber: 8085238461
FaxNumber: 8085281897
Practice Location
Address1: 347 N KUAKINI ST
Address2: HPM-9
City: HONOLULU
State: HI
PostalCode: 968172336
CountryCode: US
TelephoneNumber: 8085238461
FaxNumber: 8085281897
Other Information
ProviderEnumerationDate: 06/18/2010
LastUpdateDate: 08/29/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000XMT197693PAY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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