Provider Demographics
NPI:1841365855
Name:UEDA, SHIGERU (MD)
Entity type:Individual
Prefix:MR
First Name:SHIGERU
Middle Name:
Last Name:UEDA
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 1:729 KAULANA PLACE
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96821-2536
Mailing Address - Country:US
Mailing Address - Phone:808-373-4333
Mailing Address - Fax:808-373-4333
Practice Address - Street 1:729 KAULANA PLACE
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96821-2536
Practice Address - Country:US
Practice Address - Phone:808-373-4333
Practice Address - Fax:808-373-4333
Is Sole Proprietor?:No
Enumeration Date:2006-11-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD5154207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI92221OtherHMSA
HI07094901Medicaid
C98193Medicare UPIN
HI07094901Medicaid