Organization Name: | CARMEN BAYBAYAN, MD LLC |
NPI Number: | 1295929438 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CARMEN M BAYBAYAN (PRESIDENT) |
Mailing Address: | 98 1247 Kaahumanu Street Suite 320 Aiea |
State: | HI US |
Postal Code: | 967015311 |
Phone Number: | 8084877077 |
Fax Number: | 8084872398 |
NPI Enumeration Date: | 08/30/2007 |
NPI Last Update Date: | 08/30/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | MD8434 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |