Organization
OSAMU FUKUYAMA MD INC
Active
Other names
The Cardiology Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
OSAMU FUKUYAMA M.D. (PRESIDENT)
(808) 538-1125
Entity
Organization
Contact information
Practice address
321 N KUAKINI ST, #504, HONOLULU, HI 96817-2364
(808) 538-1125
(808) 599-4245
Mailing address
321 N KUAKINI ST, #504, HONOLULU, HI 96817-2364
(808) 538-1125
(808) 599-4245
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) PROVIDER NO.
HI
Enumeration date
11/28/2011
Last updated
11/28/2011
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