NPI Code Details Logo

NPI 1134181019

NPI 1134181019 : WINNIE SUEN MD : HONOLULU, HI

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1134181019
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    WINNIE SUEN MD
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/05/2006
-----------------------------------------------------
    Last Update Date     |    01/31/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1783 PIIKEA ST 
-----------------------------------------------------
    City                 |    HONOLULU
-----------------------------------------------------
    State                |    HI
-----------------------------------------------------
    Zip                  |    96818-1849
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    808-543-1188
-----------------------------------------------------
    Fax                  |    808-543-1189
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1575 S BERETANIA ST STE 205 
-----------------------------------------------------
    City                 |    HONOLULU
-----------------------------------------------------
    State                |    HI
-----------------------------------------------------
    Zip                  |    96826-1141
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    808-202-2515
-----------------------------------------------------
    Fax                  |    808-204-1620
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207RG0300X
-----------------------------------------------------
    Taxonomy Name        |    Geriatric Medicine (Internal Medicine) Physician
-----------------------------------------------------
    License Number       |    216970
-----------------------------------------------------
    License Number State |    MA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    207RH0002X
-----------------------------------------------------
    Taxonomy Name        |    Hospice and Palliative Medicine (Internal Medicine) Physician
-----------------------------------------------------
    License Number       |    216970
-----------------------------------------------------
    License Number State |    MA
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    207RG0300X
-----------------------------------------------------
    Taxonomy Name        |    Geriatric Medicine (Internal Medicine) Physician
-----------------------------------------------------
    License Number       |    15919
-----------------------------------------------------
    License Number State |    HI
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.