Provider Demographics
NPI:1407944523
Name:LIN, PAUL Y (MD)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:Y
Last Name:LIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:98-211 PALI MOMI ST
Mailing Address - Street 2:SUITE 830
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701-4301
Mailing Address - Country:US
Mailing Address - Phone:808-487-5527
Mailing Address - Fax:808-436-3529
Practice Address - Street 1:98-211 PALI MOMI ST
Practice Address - Street 2:SUITE 830
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-4301
Practice Address - Country:US
Practice Address - Phone:808-487-5527
Practice Address - Fax:808-436-3529
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2011-04-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
HI01656207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
HID43466Medicare UPIN
HIH0000BBNKNMedicare ID - Type Unspecified