Healthcare Provider Details

I. General information

NPI: 1508897547
Provider Name (Legal Business Name): EIICHI FURUTA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1441 KAPIOLANI BLVD. #2000
HONOLULU HI
96814
US

IV. Provider business mailing address

1441 KAPIOLANI BLVD. #2000
HONOLULU HI
96814
US

V. Phone/Fax

Practice location:
  • Phone: 808-945-3719
  • Fax:
Mailing address:
  • Phone: 808-945-3719
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number12581
License Number StateHI
# 2
Primary TaxonomyN
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number12581
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: