Provider Demographics
NPI:1760653299
Name:ALBERT ING, M.D.,INC.
Entity Type:Organization
Organization Name:ALBERT ING, M.D.,INC.
Other - Org Name:ALBERT ING, M.D., INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:ING
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-799-9842
Mailing Address - Street 1:642 ULUKAHIKI ST
Mailing Address - Street 2:SUITE #211
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-4400
Mailing Address - Country:US
Mailing Address - Phone:808-261-0765
Mailing Address - Fax:808-262-5636
Practice Address - Street 1:642 ULUKAHIKI ST
Practice Address - Street 2:SUITE #211
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-4400
Practice Address - Country:US
Practice Address - Phone:808-261-0765
Practice Address - Fax:808-262-5636
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-12
Last Update Date:2014-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0056569207RC0000X, 207UN0901X
HIMD 16647207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear CardiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL370988400Medicaid
FL370988400Medicaid