Provider Demographics
NPI:1689684045
Name:FURUIKE, ALVIN N (MD)
Entity type:Individual
Prefix:
First Name:ALVIN
Middle Name:N
Last Name:FURUIKE
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 1:1329 LUSITANA ST
Mailing Address - Street 2:SUITE 107
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-2429
Mailing Address - Country:US
Mailing Address - Phone:808-691-5201
Mailing Address - Fax:808-691-5203
Practice Address - Street 1:1329 LUSITANA ST
Practice Address - Street 2:SUITE 107
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-2429
Practice Address - Country:US
Practice Address - Phone:808-691-5201
Practice Address - Fax:808-691-5203
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-09
Last Update Date:2015-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD2690207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI003035-01Medicaid
HIHQHCCOtherMEDICARE PTAN (GROUP)
HIH105843OtherMEDICARE PTAN (INDIVIDUAL)
HI00E0002245OtherHMSA
HIC98768Medicare UPIN
HI003035-01Medicaid