Provider Demographics
NPI:1174597637
Name:YAMAOKA, RONALD M (MD)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:M
Last Name:YAMAOKA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1437 MOKOLEA DR
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-3242
Mailing Address - Country:US
Mailing Address - Phone:808-263-6481
Mailing Address - Fax:808-262-1889
Practice Address - Street 1:642 ULUKAHIKI ST
Practice Address - Street 2:STE 303
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-4400
Practice Address - Country:US
Practice Address - Phone:808-262-0606
Practice Address - Fax:808-262-1889
Is Sole Proprietor?:No
Enumeration Date:2006-02-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIH16412084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI03236101Medicaid
HIH0000BDWGNOtherPROVIDER NO. (MEDICARE #
HI03236101Medicaid