Provider Demographics
NPI:1053654046
Name:KAWAGUCHI, EUGENE M (MD)
Entity Type:Individual
Prefix:DR
First Name:EUGENE
Middle Name:M
Last Name:KAWAGUCHI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:509 UNIVERSITY AVE
Mailing Address - Street 2:#1004
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96826-5001
Mailing Address - Country:US
Mailing Address - Phone:808-947-1090
Mailing Address - Fax:
Practice Address - Street 1:509 UNIVERSITY AVE
Practice Address - Street 2:#1004
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96826-5001
Practice Address - Country:US
Practice Address - Phone:808-947-1090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-28
Last Update Date:2013-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI2191174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist