Provider Demographics
NPI:1265588065
Name:BELLO, ERLAINE F (MD)
Entity type:Individual
Prefix:
First Name:ERLAINE
Middle Name:F
Last Name:BELLO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ERLAINE
Other - Middle Name:FRANCINE
Other - Last Name:BELLO-TROMBETTA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1380 LUSITANA ST
Mailing Address - Street 2:#901
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-2448
Mailing Address - Country:US
Mailing Address - Phone:808-537-6335
Mailing Address - Fax:808-536-0349
Practice Address - Street 1:1380 LUSITANA ST
Practice Address - Street 2:#901
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-2448
Practice Address - Country:US
Practice Address - Phone:808-537-6335
Practice Address - Fax:808-536-0349
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2008-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI4992207R00000X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI01618001Medicaid
HIE17342OtherHMSA
HI01618001Medicaid
HID36279Medicare UPIN