# DR. THEODORE H TERUYA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1538233572
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | 10795 | HI | — |
| 2086S0129X | Vascular Surgery Physician | 10795 | HI | — |
| 2086S0129X | Vascular Surgery Physician | A71912 | CA | Yes |

## Other

- **Enumeration date:** 11/20/2006
- **Last updated:** 06/29/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0000249011 | HMSA | — |
| 01 | — | 517420 | HMA NEW | — |
| 01 | — | 55759801 | ALOHACARE | — |
| 05 | — | 55759801 | — | HI |
| 01 | — | 990287995 | VET ADMIN | — |
| 01 | — | MD10795 | MDX | — |