| Organization Name: | BEN K. AZMAN M.D. INC. |
| NPI Number: | 1487865135 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BEN KAMARUDIN AZMAN (PRESIDENT) |
| Mailing Address: | 2435 Kaanapali Pkwy Ste H-7 Lahaina |
| State: | HI US |
| Postal Code: | 967611980 |
| Phone Number: | 8086679721 |
| Fax Number: | |
| NPI Enumeration Date: | 05/24/2007 |
| NPI Last Update Date: | 10/13/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | MD 2038 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |