Provider Demographics
NPI:1558608406
Name:ANGELA K. WAI, M.D.INC
Entity Type:Organization
Organization Name:ANGELA K. WAI, M.D.INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:K
Authorized Official - Last Name:WAI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-486-9229
Mailing Address - Street 1:99-115 AIEA HEIGHTS DR STE 207
Mailing Address - Street 2:
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701-3974
Mailing Address - Country:US
Mailing Address - Phone:808-486-9229
Mailing Address - Fax:
Practice Address - Street 1:99-115 AIEA HEIGHTS DR STE 207
Practice Address - Street 2:
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-3974
Practice Address - Country:US
Practice Address - Phone:808-486-9229
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-12
Last Update Date:2013-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD8893261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health