Provider Demographics
NPI:1043403975
Name:MARIA A MARKARIAN DO FACC INC
Entity Type:Organization
Organization Name:MARIA A MARKARIAN DO FACC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MARKARIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:808-261-2441
Mailing Address - Street 1:25 MALUNIU AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-5807
Mailing Address - Country:US
Mailing Address - Phone:808-261-2441
Mailing Address - Fax:808-261-2447
Practice Address - Street 1:25 MALUNIU AVE STE 201
Practice Address - Street 2:
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-5807
Practice Address - Country:US
Practice Address - Phone:808-261-2441
Practice Address - Fax:808-261-2447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-23
Last Update Date:2012-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDOS 1162207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIH102989Medicare PIN
F19362Medicare UPIN