Provider Demographics
NPI:1841384732
Name:SUZUI, AILEEN E (MD)
Entity Type:Individual
Prefix:DR
First Name:AILEEN
Middle Name:E
Last Name:SUZUI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:AILEEN
Other - Middle Name:E
Other - Last Name:DENNY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1329 LUSITANA ST
Mailing Address - Street 2:SUITE 307
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-2429
Mailing Address - Country:US
Mailing Address - Phone:808-524-6115
Mailing Address - Fax:808-528-1822
Practice Address - Street 1:1329 LUSITANA ST
Practice Address - Street 2:SUITE 307
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-2429
Practice Address - Country:US
Practice Address - Phone:808-524-6115
Practice Address - Fax:808-528-1822
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2016-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-10271207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI24839001Medicaid
HI24839001Medicaid
HI51074Medicare ID - Type Unspecified