Individual
DR. SUSAN OOKA NISHIDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1481 S KING ST STE 413, HONOLULU, HI 96814-2600
(808) 945-1500
(808) 945-1501
Mailing address
1481 S KING ST STE 413, HONOLULU, HI 96814-2600
(808) 945-1500
(808) 945-1501
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
7549
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07363303
—
HI
01
—
F22950
UPIN
HI
01
—
H102498
MEDICARE ID
HI
Enumeration date
12/26/2006
Last updated
07/22/2008
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