Healthcare Provider Details

I. General information

NPI: 1518966233
Provider Name (Legal Business Name): STEVEN AZUMA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2005
Last Update Date: 05/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

321 N KUAKINI ST STE.#709
HONOLULU HI
96817-2364
US

IV. Provider business mailing address

321 N KUAKINI ST STE.#709
HONOLULU HI
96817-2364
US

V. Phone/Fax

Practice location:
  • Phone: 808-528-0005
  • Fax: 808-526-2236
Mailing address:
  • Phone: 808-528-0005
  • Fax: 808-526-2236

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberMD5064
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: