Provider Demographics
NPI:1700484284
Name:NAKI, THOMAS I K
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:I K
Last Name:NAKI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85-1199 KAMAILEUNU ST
Mailing Address - Street 2:
Mailing Address - City:WAIANAE
Mailing Address - State:HI
Mailing Address - Zip Code:96792-2502
Mailing Address - Country:US
Mailing Address - Phone:808-561-2352
Mailing Address - Fax:
Practice Address - Street 1:85-1199 KAMAILEUNU ST
Practice Address - Street 2:
Practice Address - City:WAIANAE
Practice Address - State:HI
Practice Address - Zip Code:96792-2502
Practice Address - Country:US
Practice Address - Phone:808-561-2352
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-15
Last Update Date:2020-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIH00215018343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)