Provider Demographics
NPI:1659348597
Name:HIGUCHI, CARL M (MD)
Entity Type:Individual
Prefix:DR
First Name:CARL
Middle Name:M
Last Name:HIGUCHI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:98211 MOANALUA ROAD
Mailing Address - Street 2:SUITE 320
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701
Mailing Address - Country:US
Mailing Address - Phone:808-487-7447
Mailing Address - Fax:808-487-7557
Practice Address - Street 1:98211 MOANALUA ROAD
Practice Address - Street 2:SUITE 320
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701
Practice Address - Country:US
Practice Address - Phone:808-487-7447
Practice Address - Fax:808-487-7557
Is Sole Proprietor?:No
Enumeration Date:2006-02-28
Last Update Date:2023-01-17
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Provider Licenses
StateLicense IDTaxonomies
HIMD7219207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI06090601Medicaid
HI06090603Medicaid
HI0080887OtherHMSA
HIE64707Medicare UPIN
HI06090603Medicaid