Organization
RAINE FUKUDA UROLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RAINE GAY FUKUDA M.D. (MEMBER)
(808) 521-8288
Entity
Organization
Contact information
Practice address
1712 LILIHA ST., SUITE 302, HONOLULU, HI 96817-3100
(808) 521-8288
(808) 526-0069
Mailing address
1712 LILIHA ST., SUITE 302, HONOLULU, HI 96817-3100
(808) 521-8288
(808) 526-0069
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
15080
HI
208800000X
Urology Physician
MD-15080
HI
Other
Enumeration date
05/25/2009
Last updated
09/20/2010
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