Provider Demographics
NPI:1780337832
Name:NENITA BALA-ALBANO MD LLC
Entity type:Organization
Organization Name:NENITA BALA-ALBANO MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMPLOYEE
Authorized Official - Prefix:
Authorized Official - First Name:NENITA
Authorized Official - Middle Name:
Authorized Official - Last Name:BALA-ALBANO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-927-6081
Mailing Address - Street 1:PO BOX 970749
Mailing Address - Street 2:
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-0749
Mailing Address - Country:US
Mailing Address - Phone:808-680-0558
Mailing Address - Fax:808-680-0500
Practice Address - Street 1:94-216 FARRINGTON HWY STE A103
Practice Address - Street 2:
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-1922
Practice Address - Country:US
Practice Address - Phone:808-680-0558
Practice Address - Fax:808-680-0500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-29
Last Update Date:2022-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty