Provider Demographics
NPI:1689375115
Name:OHIMAA, LLC
Entity Type:Organization
Organization Name:OHIMAA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AKUA
Authorized Official - Middle Name:
Authorized Official - Last Name:AGYEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:671-646-1440
Mailing Address - Street 1:1270 N MARINE CORPS DR STE 101-2050
Mailing Address - Street 2:
Mailing Address - City:TAMUNING
Mailing Address - State:GU
Mailing Address - Zip Code:96913-4331
Mailing Address - Country:US
Mailing Address - Phone:671-646-1440
Mailing Address - Fax:671-646-1441
Practice Address - Street 1:160 N MARINE CORPS DR STE 5B
Practice Address - Street 2:
Practice Address - City:TAMUNING
Practice Address - State:GU
Practice Address - Zip Code:96913-4163
Practice Address - Country:US
Practice Address - Phone:671-646-1440
Practice Address - Fax:671-646-1441
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-13
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty