Provider Demographics
NPI:1144426909
Name:FUJIMOTO, CHRYSTIE KIMIE (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRYSTIE
Middle Name:KIMIE
Last Name:FUJIMOTO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 S BERETANIA ST STE 310
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-1872
Mailing Address - Country:US
Mailing Address - Phone:808-524-4055
Mailing Address - Fax:808-524-4057
Practice Address - Street 1:1401 S BERETANIA ST STE 310
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-1872
Practice Address - Country:US
Practice Address - Phone:808-524-4055
Practice Address - Fax:808-524-4057
Is Sole Proprietor?:No
Enumeration Date:2007-06-26
Last Update Date:2014-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI15081207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology