Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | 3866 | HI |
NPI | 1013911734 |
---|---|
Provider Name | Dr. Stuart Sugihara |
First Address | Honolulu, HI 96817-2361 |
Second Address | Honolulu, HI 96817-2361 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2005 |
Last Update Date | 03/08/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
04448301 | (05) | HI |
4967-6 | HMSA (01) | HI |
D36436 | (02) | HI |