Maui Cancer Clinic, Inc.

LBN: Maui Cancer Clinic, Inc.
Maui Cancer Clinic, Inc. is an health care organization with primary practice located at 24 North Church Street Suite 308 , Wailuku HI 96793. The organization recently has only one registered license in Ambulatory Health Care Facilities / Oncology, which is considered as the primary health care specialty. Maui Cancer Clinic, Inc. can be contacted via phone (808) 242-1110, or through Altaha, Ramin via phone (808) 280-4858.

Contact Information

Primary practice address
24 North Church Street Suite 308 Wailuku HI 96793
Phone: (808) 242-1110
Fax: (855) 839-9759
Website:
Map and Directions
Authorized official contact:
Name: Altaha, Ramin Doctor of Medicine (MD)
Phone: (808) 280-4858

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Oncology 261QX0200X

Profile Details

NPI number 1558765719
LBN Legal business name Maui Cancer Clinic, Inc.
DBA Doing business as
Authorized official Altaha, Ramin Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 17th, 2014
Last updated Dec 3rd, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1558765719 NPPES
Hawaii MEDICAID 68766801

Popular Providers