Individual
JEFFREY Y SUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1481 S KING ST, SUITE 202, HONOLULU, HI 96814-2601
(808) 949-0091
Mailing address
1481 S KING ST, SUITE 210, HONOLULU, HI 96814-2601
(808) 949-0091
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD5957
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00B0029120
HMSA
HI
05
—
02609101
—
HI
01
—
B004
TRICARE
HI
01
—
MD5957-01
QHC
HI
Enumeration date
03/21/2006
Last updated
10/06/2011
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