Provider Demographics
NPI:1861445165
Name:GHOWS, MAIMONA (MD)
Entity Type:Individual
Prefix:DR
First Name:MAIMONA
Middle Name:
Last Name:GHOWS
Suffix:
Gender:F
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:PO BOX 3270
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96801-3270
Mailing Address - Country:US
Mailing Address - Phone:808-538-3232
Mailing Address - Fax:808-538-3220
Practice Address - Street 1:1360 S BERETANIA ST STE 204
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-1520
Practice Address - Country:US
Practice Address - Phone:800-781-7237
Practice Address - Fax:801-432-2668
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2014-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD6959207L00000X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI057232-02Medicaid
HI057232-03Medicaid
HI057232-06Medicaid
HI057232-06Medicaid