Provider Demographics
NPI:1164534806
Name:BARNES, WENDY LEHUA (MD)
Entity Type:Individual
Prefix:MS
First Name:WENDY
Middle Name:LEHUA
Last Name:BARNES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:868 ULULANI ST
Mailing Address - Street 2:#101
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720
Mailing Address - Country:US
Mailing Address - Phone:808-935-3883
Mailing Address - Fax:808-969-9224
Practice Address - Street 1:868 ULULANI ST
Practice Address - Street 2:#101
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720
Practice Address - Country:US
Practice Address - Phone:808-935-3883
Practice Address - Fax:808-969-9224
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD10395207R00000X
HI10395207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV213653OtherHMA INC
HIMD10395OtherMDX
HI00A0222974OtherHMSA
HI08901101Medicaid
00A0222974OtherQUEST HMSA
HI00A0222974OtherHMSA
HI08901101Medicaid