Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD-7466 | HI |
N | 111NI0900X | Internist | MD-7466 | HI |
Y | 207RP1001X | Pulmonary Disease | MD-7466 | HI |
NPI | 1033276209 |
---|---|
Provider Name | Magdy A Mettias |
First Address | Waipahu, HI 96797-2648 |
Second Address | Waipahu, HI 96797-2648 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2007 |
Last Update Date | 17/04/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03508905 | (05) | HI |
H51062 | (02) | HI |