CUSTOMIZED THERAPEUTICS LLC NPI 1558545681

NPI Information

  • NPI: 1558545681
  • Provider Name: CUSTOMIZED THERAPEUTICS LLC
  • Classification: Internal Medicine - 207RX0202X
  • Specialization: Medical Oncology
  • Entity Type: Organization
  • Doing Business As: BIG ISLAND HEMATOLOGY-ONCOLOGY
  • Address: 75-5995 KUAKINI HWY STE 427
    KAILUA KONA, HI
    ZIP 96740
  • Phone: (808) 557-0864

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NPI Details

CUSTOMIZED THERAPEUTICS LLC is a medical oncology internal medicine in Kailua Kona, HI. The provider is an internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. CUSTOMIZED THERAPEUTICS LLC NPI is 1558545681. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Big Island Hematology-oncology.

The provider's business location address is:

75-5995 KUAKINI HWY STE 427
KAILUA KONA, HI
ZIP 96740-123
Phone: (808) 557-0864
Fax: (808) 329-3238

The provider's authorized official is Oluwole O Odujinrin .
The authorized official title is President and has the following contact phone number (808) 557-0864.

The enumeration date for this NPI number is 12/26/2007 and was last updated on 6/21/2018.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RX0202XInternal MedicineMedical OncologyG23749CALIFORNIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1=========OTHERHAWAIITAX ID

What is NPI?

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This page was last updated on: 11/21/2025

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