Provider Demographics
NPI:1790893287
Name:CARNEY, MICHAEL ETHAN (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:ETHAN
Last Name:CARNEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1319 PUNAHOU ST
Mailing Address - Street 2:SUITE 640
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96826-1001
Mailing Address - Country:US
Mailing Address - Phone:808-983-6090
Mailing Address - Fax:808-983-6096
Practice Address - Street 1:1319 PUNAHOU ST
Practice Address - Street 2:SUITE 640
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96826-1001
Practice Address - Country:US
Practice Address - Phone:808-983-6090
Practice Address - Fax:808-983-6096
Is Sole Proprietor?:No
Enumeration Date:2006-08-26
Last Update Date:2010-08-12
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Provider Licenses
StateLicense IDTaxonomies
HIMD-11601207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIF83625Medicare UPIN