Provider Demographics
NPI:1235179904
Name:SHIKUMA, CECILIA (MD)
Entity Type:Individual
Prefix:DR
First Name:CECILIA
Middle Name:
Last Name:SHIKUMA
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 1:677 ALA MOANA BLVD, SUITE 1025
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-5419
Mailing Address - Country:US
Mailing Address - Phone:808-535-5975
Mailing Address - Fax:808-535-5976
Practice Address - Street 1:3675 KILAUEA AVENUE, 5TH FLOOR
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96816
Practice Address - Country:US
Practice Address - Phone:808-737-2751
Practice Address - Fax:808-735-7047
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-08
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD4769174400000X
HIMD-47692080P0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI023044-02Medicaid
HI56832Medicare ID - Type Unspecified