Provider Demographics
NPI:1215031232
Name:SAKAGUCHI, BRADLEY W (MD)
Entity Type:Individual
Prefix:DR
First Name:BRADLEY
Middle Name:W
Last Name:SAKAGUCHI
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 1:4155 KOKO DR
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-4324
Mailing Address - Country:US
Mailing Address - Phone:808-341-9424
Mailing Address - Fax:
Practice Address - Street 1:1010 S KING ST STE 604
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-1707
Practice Address - Country:US
Practice Address - Phone:808-671-5449
Practice Address - Fax:808-376-8346
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-11
Last Update Date:2020-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-10052207VG0400X
HIMD10052207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology