Provider Demographics
NPI:1720318199
Name:ONA, MEL ANGELO (MD, MS, MPH, MA)
Entity Type:Individual
Prefix:DR
First Name:MEL
Middle Name:ANGELO
Last Name:ONA
Suffix:
Gender:M
Credentials:MD, MS, MPH, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:590 FARRINGTON HWY UNIT 526A
Mailing Address - Street 2:
Mailing Address - City:KAPOLEI
Mailing Address - State:HI
Mailing Address - Zip Code:96707-2034
Mailing Address - Country:US
Mailing Address - Phone:617-319-4441
Mailing Address - Fax:
Practice Address - Street 1:590 FARRINGTON HWY UNIT 526A
Practice Address - Street 2:
Practice Address - City:KAPOLEI
Practice Address - State:HI
Practice Address - Zip Code:96707-2034
Practice Address - Country:US
Practice Address - Phone:808-762-2311
Practice Address - Fax:808-376-8780
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-07
Last Update Date:2019-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY266590207R00000X
HIMD-19048207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI816548Medicaid