Fukuyama, Osamu

Fukuyama, Osamu is an sole proprietor health care provider with primary practice located at 321 N Kuakini St Suite 504, Honolulu HI 96817-2364. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Fukuyama, Osamu can be contacted via phone (808) 538-1125.

Contact Information

Primary practice address
321 N Kuakini St Suite 504 Honolulu HI 96817-2364
Fax: (808) 538-1125
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD-4346 Hawaii

Profile Details

NPI number 1104978154
LBN Legal business name Fukuyama, Osamu
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 18th, 2007
Last updated Nov 29th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104978154 NPPES
Hawaii MEDICAID 01053701
Hawaii Other 1096-7

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