Provider Demographics
NPI:1376507624
Name:AYABE, RONALD ISAMI (MD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:ISAMI
Last Name:AYABE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:98 1079 MOANALUA RD
Mailing Address - Street 2:STE 560
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701
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:STE 560
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701
Practice Address - Country:US
Practice Address - Phone:808-487-0078
Practice Address - Fax:808-487-2853
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2010-03-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
HIMD5256207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI522773Medicaid
0019638OtherHMSA
0019638OtherHMSA
HI522773Medicaid