Provider Demographics
NPI:1942307939
Name:LEY, GENEVIEVE S GINES (MD)
Entity Type:Individual
Prefix:DR
First Name:GENEVIEVE
Middle Name:S GINES
Last Name:LEY
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 1:1010 WILDER AVE APT 503
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96822-2656
Mailing Address - Country:US
Mailing Address - Phone:808-521-7108
Mailing Address - Fax:
Practice Address - Street 1:2228 LILIHA ST
Practice Address - Street 2:STE 300
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-1650
Practice Address - Country:US
Practice Address - Phone:808-585-7414
Practice Address - Fax:808-585-7424
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI11242207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Single Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
H64478Medicare UPIN
55652Medicare ID - Type Unspecified