Provider Demographics
NPI:1447661293
Name:ALFRED A. INES, MD
Entity type:Organization
Organization Name:ALFRED A. INES, MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALFRED
Authorized Official - Middle Name:A
Authorized Official - Last Name:INES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-753-4553
Mailing Address - Street 1:94-216 FARRINGTON HWY
Mailing Address - Street 2:SUITE B2-305; BOX 334
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-1922
Mailing Address - Country:US
Mailing Address - Phone:808-671-8877
Mailing Address - Fax:
Practice Address - Street 1:94-216 FARRINGTON HWY
Practice Address - Street 2:SUITE B2-305; BOX 334
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-1922
Practice Address - Country:US
Practice Address - Phone:808-671-8877
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-14
Last Update Date:2014-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI6077174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty