Healthcare Provider Details

I. General information

NPI: 1548449218
Provider Name (Legal Business Name): AYMAN ABDUL-GHANI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/30/2007
Last Update Date: 01/04/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

888 S KING ST MAKAI 3RD FLOOR
HONOLULU HI
96813-3097
US

IV. Provider business mailing address

888 S KING ST MAKAI 3RD FLOOR
HONOLULU HI
96813-3097
US

V. Phone/Fax

Practice location:
  • Phone: 808-522-3068
  • Fax: 808-522-4397
Mailing address:
  • Phone: 808-522-3068
  • Fax: 808-522-4397

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number10806
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: