Provider Demographics
NPI:1952496283
Name:QUIANE, AGRIFINA C (MD)
Entity Type:Individual
Prefix:
First Name:AGRIFINA
Middle Name:C
Last Name:QUIANE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94-216 FARRINGTON HWY UNIT B2-109
Mailing Address - Street 2:
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-1922
Mailing Address - Country:US
Mailing Address - Phone:808-678-3575
Mailing Address - Fax:808-678-3574
Practice Address - Street 1:94-216 FARRINGTON HWY # B2-109
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:808-678-3575
Practice Address - Fax:808-678-3574
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2018-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-12657207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI54860404Medicaid
HI548860404Medicaid