1235674060 NPI number — LORI MURAYAMA-SUNG, MD INC

Table of content: (NPI 1235674060)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1235674060 NPI number — LORI MURAYAMA-SUNG, MD INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LORI MURAYAMA-SUNG, MD INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1235674060
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/03/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2756 PALI HWY APT K
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HONOLULU
Provider Business Mailing Address State Name:
HI
Provider Business Mailing Address Postal Code:
96817-1497
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
808-222-9575
Provider Business Mailing Address Fax Number:
808-744-2640

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1520 LILIHA ST
Provider Second Line Business Practice Location Address:
STE 402
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96817-3562
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-600-4245
Provider Business Practice Location Address Fax Number:
808-744-2640
Provider Enumeration Date:
01/03/2017

Additional Information

Authorized Official

Authorized Official Last Name:
MURAYAMA-SUNG
Authorized Official First Name:
LORI
Authorized Official Middle Name:
SHIZUKO
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
808-222-9575

Provider Taxonomy Codes

  • Taxonomy code: 2084P0800X , with the licence number:  MD 15219 , registered in the state of HI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1942410824 . This is a "LORI MURAYAMA-SUNG, MD PERSONAL NPI NUMBER" identifier . This identifiers is of the category "OTHER".




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