Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | ME0056569 | FL |
N | 111NI0900X | Internist | ME0056569 | FL |
Y | 207RC0000X | Internist - Cardiovascular Disease | MD 16647 | HI |
N | 207RC0000X | Internist - Cardiovascular Disease | ME0056569 | FL |
N | 207U00000X | Nuclear Medicine Specialist | ME0056569 | FL |
NPI | 1730144494 |
---|---|
Provider Name | Dr. Albert Ing |
First Address | Kaneohe, HI 96744-3724 |
Second Address | Kaneohe, HI 96744-3724 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2006 |
Last Update Date | 18/12/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
370988400 | (05) | FL |
F33324 | (02) | FL |
K4576 | MEDICARE GROUP (01) | FL |