Provider Demographics
NPI:1720342892
Name:ASANO, SAYURI ITAHASHI (DCN, RD, CSP)
Entity Type:Individual
Prefix:DR
First Name:SAYURI
Middle Name:ITAHASHI
Last Name:ASANO
Suffix:
Gender:F
Credentials:DCN, RD, CSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 S KING ST
Mailing Address - Street 2:#2909
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813
Mailing Address - Country:US
Mailing Address - Phone:808-561-3672
Mailing Address - Fax:808-528-3894
Practice Address - Street 1:801 S KING ST
Practice Address - Street 2:#2909
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813
Practice Address - Country:US
Practice Address - Phone:808-561-3672
Practice Address - Fax:808-528-3894
Is Sole Proprietor?:No
Enumeration Date:2012-07-03
Last Update Date:2012-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI868157133V00000X, 133VN1004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1004XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Pediatric
No133V00000XDietary & Nutritional Service ProvidersDietitian, Registered