Provider Demographics
NPI:1386679397
Name:UY, QUINTIN LEE (MD)
Entity Type:Individual
Prefix:DR
First Name:QUINTIN
Middle Name:LEE
Last Name:UY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1744 LILIHA ST
Mailing Address - Street 2:SUITE 206
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-3115
Mailing Address - Country:US
Mailing Address - Phone:808-521-3008
Mailing Address - Fax:808-521-3009
Practice Address - Street 1:1744 LILIHA ST
Practice Address - Street 2:SUITE 206
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-3115
Practice Address - Country:US
Practice Address - Phone:808-521-3008
Practice Address - Fax:808-521-3009
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1730207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI31872OtherHMSA
HI02857701Medicaid
C98668Medicare UPIN
H0000BCDWHMedicare ID - Type Unspecified