Provider Demographics
NPI:1104165588
Name:COLLEEN F. INOUYE MD INC
Entity type:Organization
Organization Name:COLLEEN F. INOUYE MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:COLLEEN
Authorized Official - Middle Name:FUJIKO
Authorized Official - Last Name:INOUYE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-871-7122
Mailing Address - Street 1:200 KALEPA PL
Mailing Address - Street 2:
Mailing Address - City:KAHULUI
Mailing Address - State:HI
Mailing Address - Zip Code:96732-2471
Mailing Address - Country:US
Mailing Address - Phone:808-871-7122
Mailing Address - Fax:808-877-4134
Practice Address - Street 1:200 KALEPA PL
Practice Address - Street 2:
Practice Address - City:KAHULUI
Practice Address - State:HI
Practice Address - Zip Code:96732-2471
Practice Address - Country:US
Practice Address - Phone:808-871-7122
Practice Address - Fax:808-877-4134
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-05
Last Update Date:2013-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI5261207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIC98795Medicare UPIN