Provider Demographics
NPI:1518966233
Name:AZUMA, STEVEN (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:
Last Name:AZUMA
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:STE.#709
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-2364
Mailing Address - Country:US
Mailing Address - Phone:808-528-0005
Mailing Address - Fax:808-526-2236
Practice Address - Street 1:321 N KUAKINI ST
Practice Address - Street 2:STE.#709
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-2364
Practice Address - Country:US
Practice Address - Phone:808-528-0005
Practice Address - Fax:808-526-2236
Is Sole Proprietor?:No
Enumeration Date:2005-07-14
Last Update Date:2008-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD5064207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIC98718OtherKAISER HEALTH PLAN
HI990265914OtherTRICARE
HI00A001927OtherHMSA QUEST
HI01794001Medicaid
HIA1929-7OtherHMSA
HIC98718OtherKAISER QUEST PLAN
HIMD5064OtherMDX-HAWAII
HIC98718OtherKAISER SENIOR PLAN
HI00A001927OtherHMSA QUEST
HI01794001Medicaid