Provider Demographics
NPI:1093998189
Name:SATTA, SUKCHAI (MD)
Entity Type:Individual
Prefix:DR
First Name:SUKCHAI
Middle Name:
Last Name:SATTA
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 1:79-7266 MAMALAHOA HWY
Mailing Address - Street 2:
Mailing Address - City:KEALAKEKUA
Mailing Address - State:HI
Mailing Address - Zip Code:96750-7919
Mailing Address - Country:US
Mailing Address - Phone:808-322-9324
Mailing Address - Fax:808-322-9234
Practice Address - Street 1:79-7266 MAMALAHOA HWY
Practice Address - Street 2:
Practice Address - City:KEALAKEKUA
Practice Address - State:HI
Practice Address - Zip Code:96750-7919
Practice Address - Country:US
Practice Address - Phone:808-322-9324
Practice Address - Fax:808-322-9234
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-11
Last Update Date:2013-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI02774207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI3977-6OtherHMSA
HIH0000BDGWGMedicare PIN
HI3977-6OtherHMSA