Individual
DR. OSAMU FUKUYAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
321 N KUAKINI ST, SUITE 504, HONOLULU, HI 96817-2364
(808) 538-1125
(808) 538-1125
Mailing address
321 N KUAKINI ST, SUITE 504, HONOLULU, HI 96817-2364
(808) 538-1125
(808) 538-1125
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD-4346
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01053701
—
HI
01
—
1096-7
LOCAL BCBS (HMSA) PROV NO
HI
Enumeration date
01/18/2007
Last updated
11/29/2022
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