Sugiyama, Glen H

Sugiyama, Glen H is an individual health care provider with primary practice located at 1329 Lusitana St Suite 203, Honolulu HI 96813. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Sugiyama, Glen H can be contacted via phone (808) 538-3021.

Contact Information

Primary practice address
1329 Lusitana St Suite 203 Honolulu HI 96813
Phone: (808) 538-3021
Fax: (808) 533-6397
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD 4337 Hawaii

Profile Details

NPI number 1811963994
LBN Legal business name Sugiyama, Glen H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Jan 4th, 2011 - about 14 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 1811963994 NPPES
Hawaii Other C011621 HMSA
Hawaii MEDICAID 01112001 HMSA

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