Provider Demographics
NPI:1447205620
Name:TSUJI, JAMES SHINOBU (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:SHINOBU
Last Name:TSUJI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1380 LUSITANA ST.
Mailing Address - Street 2:SUITE 903
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-2448
Mailing Address - Country:US
Mailing Address - Phone:808-531-1106
Mailing Address - Fax:808-531-0915
Practice Address - Street 1:1380 LUSITANA ST.
Practice Address - Street 2:SUITE 903
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-2448
Practice Address - Country:US
Practice Address - Phone:808-531-1106
Practice Address - Fax:808-531-0915
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD 3159207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI03833401Medicaid
HIH0000BDFPCMedicare ID - Type Unspecified
HI03833401Medicaid