Provider Demographics
NPI:1376635268
Name:BATOL, MARIA STELLA KALALO
Entity Type:Individual
Prefix:
First Name:MARIA STELLA
Middle Name:KALALO
Last Name:BATOL
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:MARIA-STELLA
Other - Middle Name:KALALO
Other - Last Name:PERLAS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:45-549 PLUMERIA ST
Mailing Address - Street 2:
Mailing Address - City:HONOKAA
Mailing Address - State:HI
Mailing Address - Zip Code:96727-6902
Mailing Address - Country:US
Mailing Address - Phone:808-885-5448
Mailing Address - Fax:808-885-4126
Practice Address - Street 1:65-1190 MAMALAHOA HWY
Practice Address - Street 2:
Practice Address - City:KAMUELA
Practice Address - State:HI
Practice Address - Zip Code:96743-8431
Practice Address - Country:US
Practice Address - Phone:808-855-4488
Practice Address - Fax:808-885-4126
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI10527207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI00E0216068OtherHMSA
HI25240501Medicaid
HI00G0216064OtherHMSA
HI0000216069OtherHMSA
HI00F0216066OtherHMSA