Healthcare Provider Details

I. General information

NPI: 1578737383
Provider Name (Legal Business Name): STEVEN AZUMA, M.D.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2008
Last Update Date: 05/06/2008
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: DR. STEVEN S AZUMA
Title or Position: OWNER
Credential: M.D.
Phone: 808-528-0005