Provider Demographics
NPI:1649367962
Name:ABLAN, MARY MAY Z (MD)
Entity type:Individual
Prefix:DR
First Name:MARY MAY
Middle Name:Z
Last Name:ABLAN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:91-2139 FORT WEAVER RD
Mailing Address - Street 2:SUITE 303
Mailing Address - City:EWA BEACH
Mailing Address - State:HI
Mailing Address - Zip Code:96706-3607
Mailing Address - Country:US
Mailing Address - Phone:808-671-1558
Mailing Address - Fax:808-677-7072
Practice Address - Street 1:91-2139 FORT WEAVER RD
Practice Address - Street 2:SUITE 303
Practice Address - City:EWA BEACH
Practice Address - State:HI
Practice Address - Zip Code:96706-3607
Practice Address - Country:US
Practice Address - Phone:808-671-1558
Practice Address - Fax:808-677-7072
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2007-07-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
HI6890207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI08113-3Medicaid