Provider Demographics
NPI:1023181278
Name:RON D AH LOY MD INC
Entity Type:Organization
Organization Name:RON D AH LOY MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RON
Authorized Official - Middle Name:D
Authorized Official - Last Name:AH LOY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-887-0600
Mailing Address - Street 1:64-5188 KINOHOU ST
Mailing Address - Street 2:
Mailing Address - City:KAMUELA
Mailing Address - State:HI
Mailing Address - Zip Code:96743-8409
Mailing Address - Country:US
Mailing Address - Phone:808-887-0600
Mailing Address - Fax:808-887-6699
Practice Address - Street 1:64-5188 KINOHOU ST
Practice Address - Street 2:
Practice Address - City:KAMUELA
Practice Address - State:HI
Practice Address - Zip Code:96743-8409
Practice Address - Country:US
Practice Address - Phone:808-887-0600
Practice Address - Fax:808-887-6699
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2007-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIH54709Medicare PIN