Doctor Name: | BRYAN Y. YAMASHIRO |
NPI Number: | 1902934367 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | MD-8081 |
Business Practice Address: | 94-1480 Moaniani St Waipahu, HI - 967974632 |
Business Phone Number: | 8084323100 |
Business Fax Number: | |
Mailing Address: | 94-1480 Moaniani St, WAIPAHU |
State: | HI |
Postal Code: | 967974632 |
Phone Number: | 8084323100 |
Fax Number: | |
NPI Enumeration Date: | 02/28/2007 |
NPI Last Update Date: | 10/19/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | MD-8081 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |