Provider Demographics
NPI:1922041698
Name:FUJIWARA, STEVE FUMIAKI (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVE
Middle Name:FUMIAKI
Last Name:FUJIWARA
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:SUITE 812
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-2362
Mailing Address - Country:US
Mailing Address - Phone:808-528-2966
Mailing Address - Fax:808-528-2967
Practice Address - Street 1:321 N. KUAKINI ST.
Practice Address - Street 2:SUITE 812
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-2362
Practice Address - Country:US
Practice Address - Phone:808-528-2966
Practice Address - Fax:808-528-2967
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-4297207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI52529801Medicaid
HIJ001125-2OtherHSMA
HIC98765Medicare UPIN
HI52529801Medicaid