MEDICARE: DR. WALTER UYESUGI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	DOS826	HI
2	2085R0202X	Diagnostic Radiology Physician	036121888	IL
3	2085R0202X	Diagnostic Radiology Physician	A-1490-09	NM

General Provider Information

NPI Number	:	1386634202
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WALTER UYESUGI

Provider Business Mailing Address
First Line	:	7938 HAWAII KAI DR
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96825-2856
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 KEAHOLE PL
Second Line	:	# 1218
City	:	HONOLULU
State	:	HI
Zip	:	96825-3415
Country	:	US
Telephone Number	:	808-395-3983
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/21/2005
Last Update Date	:	06/16/2025

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Directions to “ DR. WALTER UYESUGI ” Practice Location

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