Healthcare Provider Details

I. General information

NPI: 1861747255
Provider Name (Legal Business Name): RAYJI SEAN TSUTSUI MBCHB
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2012
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

888 S KING ST
HONOLULU HI
96813-3009
US

IV. Provider business mailing address

888 S KING ST
HONOLULU HI
96813-3009
US

V. Phone/Fax

Practice location:
  • Phone: 808-522-4222
  • Fax: 808-522-4319
Mailing address:
  • Phone: 808-522-4222
  • Fax: 808-522-4319

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberMD-21176
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: