1558534602 NPI number — STUART TSUJI M.D., PH.D.

NPI Number: 1558534602
Health Care Provider/Practitioner: STUART TSUJI M.D., PH.D.

NPI Number : 1558534602 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1558534602",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "TSUJI",
    "FirstName": "STUART",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "M.D., PH.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1050 BISHOP ST",
    "SecondLineMailingAddress": "#127",
    "MailingAddressCityName": "HONOLULU",
    "MailingAddressStateName": "HI",
    "MailingAddressPostalCode": "96813-4210",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "650-387-8376",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1301 PUNCHBOWL ST",
    "SecondLinePracticeLocationAddress": "DEPT OF RADIATION ONCOLOGY",
    "PracticeLocationAddressCityName": "HONOLULU",
    "PracticeLocationAddressStateName": "HI",
    "PracticeLocationAddressPostalCode": "96813-2402",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "808-547-4771",
    "PracticeLocationAddressFaxNumber": "808-578-8909",
    "EnumerationDate": "04/09/2008",
    "LastUpdateDate": "11/20/2009",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "2085R0001X",
          "TaxonomyName": "Radiation Oncology Physician",
          "LicenseNumber": "MD15308",
          "LicenseNumberStateCode": "HI",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "2085R0001X",
          "TaxonomyName": "Radiation Oncology Physician",
          "LicenseNumber": "A95084",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}