Provider Demographics
NPI:1164455861
Name:KAGAWA, ROBERT SUKI (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:SUKI
Last Name:KAGAWA
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 1:321 N KUAKINI ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-2364
Mailing Address - Country:US
Mailing Address - Phone:808-523-8611
Mailing Address - Fax:808-537-1594
Practice Address - Street 1:321 N KUAKINI ST
Practice Address - Street 2:SUITE 201
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-2364
Practice Address - Country:US
Practice Address - Phone:808-523-8611
Practice Address - Fax:808-537-1594
Is Sole Proprietor?:No
Enumeration Date:2006-07-08
Last Update Date:2018-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD6293207RS0010X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RS0010XAllopathic & Osteopathic PhysiciansInternal MedicineSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIB3277-7OtherHMSA PROVIDER NUMBER
HI029369Medicaid
HIB3277-7OtherHMSA PROVIDER NUMBER
HIC97449Medicare UPIN