Suzuka, Randall

Suzuka, Randall is an individual health care provider with primary practice located at 66-125 Kamehameha Hwy , Haleiwa HI 96712-1420. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Suzuka, Randall can be contacted via phone (808) 637-5087.

Contact Information

Primary practice address
66-125 Kamehameha Hwy Haleiwa HI 96712-1420
Fax: (808) 637-4765
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD5409 Hawaii

Profile Details

NPI number 1053483099
LBN Legal business name Suzuka, Randall
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053483099 NPPES
Hawaii MEDICAID 02102001

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