Provider Demographics
NPI:1730144494
Name:ING, ALBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:
Last Name:ING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46-001 KAMEHAMEHA HWY
Mailing Address - Street 2:SUITE 202
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-3724
Mailing Address - Country:US
Mailing Address - Phone:808-200-7044
Mailing Address - Fax:808-784-0763
Practice Address - Street 1:46-001 KAMEHAMEHA HWY
Practice Address - Street 2:SUITE 202
Practice Address - City:KANEOHE
Practice Address - State:HI
Practice Address - Zip Code:96744-3724
Practice Address - Country:US
Practice Address - Phone:808-200-7044
Practice Address - Fax:808-784-0763
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-18
Last Update Date:2015-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0056569207R00000X, 207RC0000X, 207U00000X
HIMD 16647207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207U00000XAllopathic & Osteopathic PhysiciansNuclear Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL370988400Medicaid
FLK4576OtherMEDICARE GROUP
FLK4576OtherMEDICARE GROUP
FLF33324Medicare UPIN
HIHGM836ZMedicare PIN
FL17696Medicare ID - Type Unspecified