Provider Demographics
NPI:1750560249
Name:ALEX M. ABERIN, MD
Entity type:Organization
Organization Name:ALEX M. ABERIN, MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ABERIN
Authorized Official - Middle Name:VAL
Authorized Official - Last Name:Q
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-981-1700
Mailing Address - Street 1:2100 KANOELEHUA AVE
Mailing Address - Street 2:SUITE B-9
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720-6500
Mailing Address - Country:US
Mailing Address - Phone:808-981-1700
Mailing Address - Fax:
Practice Address - Street 1:2100 KANOELEHUA AVE
Practice Address - Street 2:SUITE B-9
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-6500
Practice Address - Country:US
Practice Address - Phone:808-981-1700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-31
Last Update Date:2009-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD9667173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes173000000XOther Service ProvidersLegal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIG34427Medicare UPIN
HIH101903Medicare PIN