Provider Demographics
NPI:1467557660
Name:ALOHA CARDIOLOGY LLC
Entity Type:Organization
Organization Name:ALOHA CARDIOLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:PHILLIP
Authorized Official - Middle Name:A
Authorized Official - Last Name:MILNE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-871-8878
Mailing Address - Street 1:PO BOX 1029
Mailing Address - Street 2:
Mailing Address - City:WAILUKU
Mailing Address - State:HI
Mailing Address - Zip Code:96793-1029
Mailing Address - Country:US
Mailing Address - Phone:808-242-9912
Mailing Address - Fax:808-242-9914
Practice Address - Street 1:210 IMI KALA ST
Practice Address - Street 2:STE 209
Practice Address - City:WAILUKU
Practice Address - State:HI
Practice Address - Zip Code:96793-1274
Practice Address - Country:US
Practice Address - Phone:808-242-9912
Practice Address - Fax:808-242-9914
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-13
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-11315207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI50756901Medicaid
HI50756901Medicaid