Provider Demographics
NPI:1467457382
Name:AYABE, SHARON S (MD)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:S
Last Name:AYABE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3465 WAIALAE AVE FL 4
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-2650
Mailing Address - Country:US
Mailing Address - Phone:808-521-1317
Mailing Address - Fax:808-533-1482
Practice Address - Street 1:4-1461 KUHIO HWY
Practice Address - Street 2:
Practice Address - City:KAPAA
Practice Address - State:HI
Practice Address - Zip Code:96746-1715
Practice Address - Country:US
Practice Address - Phone:808-822-4333
Practice Address - Fax:808-822-0938
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2007-10-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
HIMD-9895207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI08804301Medicaid
HI08804301Medicaid
HIG85272Medicare UPIN