Provider Demographics
NPI:1902676042
Name:MURAO, EVAN FRANK JACOB (DACM)
Entity Type:Individual
Prefix:DR
First Name:EVAN
Middle Name:FRANK JACOB
Last Name:MURAO
Suffix:
Gender:M
Credentials:DACM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1717 MOTT-SMITH DR APT 3309
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96822-2860
Mailing Address - Country:US
Mailing Address - Phone:808-445-4892
Mailing Address - Fax:
Practice Address - Street 1:1188 BISHOP ST STE 3011
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-3312
Practice Address - Country:US
Practice Address - Phone:808-445-4892
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist