MEDICARE: MEL A ONA M D INCORPORATED

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710459300
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEL A ONA M D INCORPORATED

Provider Business Mailing Address
First Line	:	590 FARRINGTON HWY UNIT 525
Second Line	:
City	:	KAPOLEI
State	:	HI
Zip	:	96707-2034
Country	:	US
Telephone Number	:	808-762-2311
Fax Number	:	808-427-6051

Provider Business Practice Location Address
First Line	:	590 FARRINGTON HWY UNIT 525
Second Line	:
City	:	KAPOLEI
State	:	HI
Zip	:	96707-2034
Country	:	US
Telephone Number	:	808-762-2311
Fax Number	:	808-427-6051

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	JENNIFER ONA
Credential	:
Telephone Number	:	617-319-4484

Provider Enumeration Date	:	12/20/2018
Last Update Date	:	07/23/2025

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