Provider Demographics
NPI:1295021657
Name:IZUTSU, CHRISTIE H (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTIE
Middle Name:H
Last Name:IZUTSU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2228 LILIHA ST STE 200
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-1652
Mailing Address - Country:US
Mailing Address - Phone:808-533-3130
Mailing Address - Fax:808-533-3140
Practice Address - Street 1:2228 LILIHA ST STE 200
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817
Practice Address - Country:US
Practice Address - Phone:808-533-3130
Practice Address - Fax:808-533-3140
Is Sole Proprietor?:No
Enumeration Date:2011-06-23
Last Update Date:2019-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA123932207R00000X
HI18722207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine