Provider Demographics
NPI:1174577647
Name:CALVIN S OISHI M D INC
Entity type:Organization
Organization Name:CALVIN S OISHI M D INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CALVIN
Authorized Official - Middle Name:S
Authorized Official - Last Name:OISHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-484-2042
Mailing Address - Street 1:98-1247 KAAHUMANU STREET
Mailing Address - Street 2:SUITE 203
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701
Mailing Address - Country:US
Mailing Address - Phone:808-484-2042
Mailing Address - Fax:808-487-8324
Practice Address - Street 1:98-1247 KAAHUMANU STREET
Practice Address - Street 2:SUITE 203
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701
Practice Address - Country:US
Practice Address - Phone:808-484-2042
Practice Address - Fax:808-487-8324
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-20
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD7926207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIH55230Medicare PIN