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RAINE FUKUDA UROLOGY LLC NPI 1124253810


NPI Information

NPI: 1124253810
Provider Name: RAINE FUKUDA UROLOGY, LLC
Classification: Urology - 208800000X
Entity Type: Organization
Address:
1712 LILIHA ST.
SUITE 302
HONOLULU, HI
ZIP 96817
Phone: (808) 521-8288
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RAINE FUKUDA UROLOGY, LLC is an urology in Honolulu, HI. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. RAINE FUKUDA UROLOGY, LLC NPI is 1124253810. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1712 LILIHA ST.
SUITE 302
HONOLULU, HI
ZIP 96817-100
Phone: (808) 521-8288
Fax: (808) 526-0069

The provider's authorized official is Raine Gay Fukuda .
The authorized official title is Member and has the following contact phone number (808) 521-8288.

The enumeration date for this NPI number is 5/25/2009 and was last updated on 9/20/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208800000XUrologyMD-15080HAWAIINo
2208800000XUrology15080HAWAIIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1BY425BMEDICARE UPINHAWAII

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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