Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | MD 8950 | HI |
NPI | 1154420693 |
---|---|
Provider Name | Ann M Rahall |
First Address | Honolulu, HI 96734 |
Second Address | Honolulu, HI 96814 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
521915 01 | (05) | HI |