# GLEN H SUGIYAMA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407815285
- **Authorized official:** GLEN H SUGIYAMA MD (OWNER)
- **Authorized official phone:** (808) 538-3021

## Contact information

- **Practice address:** 1329 LUSITANA ST, SUITE 203, HONOLULU, HI 96813
- **Practice address phone:** (808) 538-3021
- **Practice address fax:** (808) 553-6397
- **Mailing address:** 820 MILILANI ST, SUITE 702A, HONOLULU, HI 96813
- **Mailing address phone:** (808) 523-9363
- **Mailing address fax:** (808) 523-9418

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/21/2006
- **Last updated:** 08/13/2010