Individual
DR. BRADLEY H. KOIZUMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1040 S KING ST, SUITE 312, HONOLULU, HI 96814-2117
(808) 591-8880
Mailing address
1040 S KING ST, SUITE 312, HONOLULU, HI 96814-2117
(808) 591-8880
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
3321
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004433-9
HMSA
HI
05
—
04029201
—
HI
Enumeration date
11/16/2006
Last updated
03/13/2010
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