Provider Demographics
NPI:1528011665
Name:SUNAHARA, PAUL ITSUO (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:ITSUO
Last Name:SUNAHARA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:321 N KUAKINI ST
Mailing Address - Street 2:#610
Mailing Address - City:HONULULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-2388
Mailing Address - Country:US
Mailing Address - Phone:808-533-4434
Mailing Address - Fax:808-534-4435
Practice Address - Street 1:321 N KUAKINI ST
Practice Address - Street 2:#610
Practice Address - City:HONULULU
Practice Address - State:HI
Practice Address - Zip Code:96817-2388
Practice Address - Country:US
Practice Address - Phone:808-533-4434
Practice Address - Fax:808-534-4435
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2010-07-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
HI1503207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CZ033ZMedicare PIN
C97847Medicare UPIN