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General NPI Number Information
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NPI Number | 1063678456
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Entity Type | Individual
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Provider Name | ERI HARUKO SHIMIZU M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/05/2008
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Last Update Date | 10/07/2022
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Provider Practice Location Address
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Address Line | 270 HOOKAHI STREET SUITE 305
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City | WAILUKU
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State | HI
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Zip | 96793
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Country | US
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Telephone | 808-435-6262
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Fax | 877-795-4940
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Provider Business Mailing Address
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Address Line | 115 KAMAIKI CIRCLE
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City | KAHULUI
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State | HI
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Zip | 96732
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Country | US
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Telephone | 808-500-8420
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Fax | 877-795-4940
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 15871
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | MD-15871
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License Number State | HI
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 15871
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License Number State | HI
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