Provider Demographics
NPI:1447350038
Name:SUGIKI, SHIGEMI (MD)
Entity type:Individual
Prefix:DR
First Name:SHIGEMI
Middle Name:
Last Name:SUGIKI
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 1:1380 LUSITANA ST
Mailing Address - Street 2:STE 714
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-2449
Mailing Address - Country:US
Mailing Address - Phone:808-528-5333
Mailing Address - Fax:808-545-7236
Practice Address - Street 1:1380 LUSITANA ST
Practice Address - Street 2:STE 714
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-2449
Practice Address - Country:US
Practice Address - Phone:808-528-5333
Practice Address - Fax:808-545-7236
Is Sole Proprietor?:No
Enumeration Date:2006-09-23
Last Update Date:2008-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1444207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIC98644Medicare UPIN
HIH0000BBLJKMedicare PIN