Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RP1001X | Pulmonary Disease | MD-3974 | HI |
Y | 207RS0012X | Sleep Medicine | 3974 | HI |
NPI | 1275633034 |
---|---|
Provider Name | Christine Fukui |
First Address | Honolulu, HI 96821-2102 |
Second Address | Honolulu, HI 96859 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2006 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00X0052899 | HMSA BILLING NUMBER (01) | HI |
046529-01 | (05) | HI |
C97394 | (02) | HI |