Provider Demographics
NPI:1184609794
Name:KAMEOKA, JUDY Y (MD)
Entity type:Individual
Prefix:DR
First Name:JUDY
Middle Name:Y
Last Name:KAMEOKA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 N BERETANIA ST APT 3702
Mailing Address - Street 2:SUITE 201
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-4764
Mailing Address - Country:US
Mailing Address - Phone:443-850-9597
Mailing Address - Fax:
Practice Address - Street 1:1575 S BERETANIA ST
Practice Address - Street 2:SUITE 201
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96826-1149
Practice Address - Country:US
Practice Address - Phone:443-850-9597
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-07
Last Update Date:2017-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101231190207L00000X
MDD50691207L00000X
HIMD-11159207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD401147300Medicaid
F59490Medicare UPIN
MD401147300Medicaid
HIDZ497AMedicare PIN
HIDZ497ZMedicare PIN