Provider Demographics
NPI:1326354028
Name:RONALD I. AYABE, M.D., INC.
Entity Type:Organization
Organization Name:RONALD I. AYABE, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:I
Authorized Official - Last Name:AYABE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-487-0078
Mailing Address - Street 1:98-1079 MOANALUA RD
Mailing Address - Street 2:SUITE 560
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701-4713
Mailing Address - Country:US
Mailing Address - Phone:808-487-0078
Mailing Address - Fax:808-487-2853
Practice Address - Street 1:98-1079 MOANALUA RD
Practice Address - Street 2:SUITE 560
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-4713
Practice Address - Country:US
Practice Address - Phone:808-487-0078
Practice Address - Fax:808-487-2853
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-19
Last Update Date:2010-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD 5256174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty