Provider Demographics
NPI:1104832468
Name:LINDES, DOROTHYANN M (MD)
Entity Type:Individual
Prefix:DR
First Name:DOROTHYANN
Middle Name:M
Last Name:LINDES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1585 KAPIOLANI BLVD
Mailing Address - Street 2:SUITE 1800
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-4522
Mailing Address - Country:US
Mailing Address - Phone:808-941-3363
Mailing Address - Fax:808-949-0483
Practice Address - Street 1:850 W HIND DR
Practice Address - Street 2:STE 110 EAST MEDICAL CENTER
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96821
Practice Address - Country:US
Practice Address - Phone:808-373-5728
Practice Address - Fax:808-377-3432
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2008-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI10852207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI493495Medicaid
HIA0220630OtherHMSA
HI00220632OtherHMSA
D31371Medicare UPIN
HIA0220630OtherHMSA
HI493495Medicaid