Healthcare Provider Details

I. General information

NPI: 1740575422
Provider Name (Legal Business Name): SATOMI FUJII ZUKERAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2011
Last Update Date: 01/11/2023
Certification Date: 01/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

347 N KUAKINI ST
HONOLULU HI
96817-2381
US

IV. Provider business mailing address

1296 KAPIOLANI BLVD APT 2004E
HONOLULU HI
96814-2883
US

V. Phone/Fax

Practice location:
  • Phone: 808-547-9800
  • Fax:
Mailing address:
  • Phone: 559-286-6043
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD-17455
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: