Provider Demographics
NPI:1104372010
Name:SUZUKI PSYCHIATRY LLC
Entity Type:Organization
Organization Name:SUZUKI PSYCHIATRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIST
Authorized Official - Prefix:
Authorized Official - First Name:RIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:SUZUKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-389-1968
Mailing Address - Street 1:3972 OLD PALI RD
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-1009
Mailing Address - Country:US
Mailing Address - Phone:808-389-1968
Mailing Address - Fax:
Practice Address - Street 1:3972 OLD PALI RD (HOME OFFICE, DO NOT PUBLISH)
Practice Address - Street 2:(HOME OFFICE, DO NOT PUBLISH)
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-1009
Practice Address - Country:US
Practice Address - Phone:808-348-1495
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-31
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QM0850X
HI15073282E00000X, 314000000X, 315D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No282E00000XHospitalsLong Term Care Hospital
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No315D00000XNursing & Custodial Care FacilitiesHospice, Inpatient