| Doctor Name: | DR. PAUL DOUGLAS NIELSON |
| NPI Number: | 1114039070 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | MD-4699 |
| Business Practice Address: | 55-220 Kulanui St Byuh Box #1916 Laie, HI - 967621219 |
| Business Phone Number: | 8082933510 |
| Business Fax Number: | 8082933506 |
| Mailing Address: | Po Box 276, LAIE |
| State: | HI |
| Postal Code: | 967620276 |
| Phone Number: | 8082931174 |
| Fax Number: | 8082933506 |
| NPI Enumeration Date: | 08/31/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 170100000X |
| License Number: | MD-4699 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Medical Genetics, Ph.D. Medical Genetics |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists. |