Ahn, Gary W

Ahn, Gary W is an individual health care provider with primary practice located at 377 Keahole St , Honolulu HI 96825-3405. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Ahn, Gary W can be contacted via phone (808) 396-6675.

Contact Information

Primary practice address
377 Keahole St Honolulu HI 96825-3405
Phone: (808) 396-6675
Fax: (808) 395-2104
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207RS0010X MD7115 Hawaii

Profile Details

NPI number 1639260441
LBN Legal business name Ahn, Gary W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639260441 NPPES
Hawaii MEDICAID 068133

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