Provider Demographics
NPI:1568456713
Name:INADA, VICTOR KATSUJI (MD)
Entity Type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:KATSUJI
Last Name:INADA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:915 N KING ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-4544
Mailing Address - Country:US
Mailing Address - Phone:808-848-1438
Mailing Address - Fax:808-841-1265
Practice Address - Street 1:150 LAFAYETTE STREET
Practice Address - Street 2:6TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013
Practice Address - Country:US
Practice Address - Phone:212-334-6029
Practice Address - Fax:212-334-7956
Is Sole Proprietor?:No
Enumeration Date:2005-09-02
Last Update Date:2023-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
HIMD-19712207Q00000X
NY223668207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY223668OtherNEW YORK STATE LICENSE
NYBI8136980OtherDEA
NYBI8136980OtherDEA