Individual
DR. SUZANNE LEI AQUINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
97 LUMAHAI ST, HONOLULU, HI 96825-2104
(208) 416-2932
(855) 673-9190
Mailing address
4040 E CAMELBACK RD STE 250, PHOENIX, AZ 85018-8350
(855) 687-7237
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101241898
VA
2085R0202X
Diagnostic Radiology Physician
Primary
MD-14328
HI
2085R0202X
Diagnostic Radiology Physician
T2815
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102084165
—
PA
05
—
1154311694
—
VA
01
—
155766
TUFTS HEALTH PLAN
MA
05
—
21673300
—
VA
05
—
2833312
—
OH
05
—
3177971
—
MA
01
—
3427944000
PASSPORT ADVANTAGE
KY
01
—
50017690
PASSPORT
KY
05
—
7100028710
—
KY
01
—
J18775
BCBS MA
MA
01
—
P0043258
MEDICARE RAILROAD
VA
01
—
P00432958
MEDICARE RAILROAD
VA
Enumeration date
10/26/2005
Last updated
04/03/2025
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