Healthcare Provider Details

I. General information

NPI: 1851487573
Provider Name (Legal Business Name): CARMEN M BAYBAYAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 09/27/2026
Certification Date: 09/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

98-029 HEKAHA ST STE 10
AIEA HI
96701-4917
US

IV. Provider business mailing address

92-1290 ALAHOI ST
KAPOLEI HI
96707-1510
US

V. Phone/Fax

Practice location:
  • Phone: 808-487-7077
  • Fax: 808-487-2398
Mailing address:
  • Phone: 808-672-5176
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD-8434
License Number StateHI
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberMD-8434
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: