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Individual

DR. ATSUSHI JIM TERAKUBO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1329 LUSITANA ST, SUITE 409, HONOLULU, HI 96813-2429
(808) 521-8211
(808) 523-5973
Mailing address
1329 LUSITANA ST, SUITE 409, HONOLULU, HI 96813-2429
(808) 521-8211
(808) 523-5973

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD10709
HI
207RI0011X
Interventional Cardiology Physician
Primary
MD10709
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000217141
HMSA
HI
05
00252548-01
HI
01
12D0874687
CLIA
HI
Enumeration date
01/01/2007
Last updated
07/06/2010
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