Isaias, Agnela Teresa

Isaias, Agnela Teresa is an individual health care provider with primary practice located at 99-128 Aiea Heights Dr Ste 211 , Aiea HI 96701-3972. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Isaias, Agnela Teresa can be contacted via phone (808) 488-8441.

Contact Information

Primary practice address
99-128 Aiea Heights Dr Ste 211 Aiea HI 96701-3972
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD-23703 Hawaii
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 82912 California

Profile Details

NPI number 1790772572
LBN Legal business name Isaias, Agnela Teresa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2005
Last updated Feb 13th, 2024 - about 7 months 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 1790772572 NPPES
Alabama Other 051524720 BCBS PROVIDER NUMBER
Alabama MEDICAID 009971875 BCBS PROVIDER NUMBER

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