CAROLYN J. MAI


Address: 1522 Makaloa St, Suite 201, Honolulu, HI 96814-3255
Phone: 8084691997

CAROLYN J. MAI (NPI# 1134540404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134540404
Entity Type Organization
Organization Name CAROLYN J. MAI
Other Organization Name MD REFRESH LLC
Practice Address 1522 Makaloa St
Suite 201
Honolulu
HI 96814-3255
Mailing Address 1522 Makaloa St.
Suite 201
Honolulu
HI 96814
Practice Telephone 8084691997
Practice Fax Number 8089416965
Mailing Telephone 8084691997
Mailing Fax Number 8089416965
Enumeration Date 2014-01-03
Last Update Date 2016-06-09
Authorized Official Name DR. CAROLYN J. MAI (MEDICAL DIRECTOR)
Authorized Official Telephone 8084691997
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice MD-7155 HI Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
MD Refresh LLC Former Legal Business Name - Organization

Office Location

Street Address 1522 MAKALOA ST
SUITE 201
City HONOLULU
State HI
Zip Code 96814-3255

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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1316389828 Robert Henry Nathanson General Practice 1520 Ward Ave, #602, Honolulu, HI 96822-3569 2013-07-25
1003156092 Zhelah B Kayce General Practice 1009 Kapiolani Blvd, #4607, Honolulu, HI 96814-2112 2013-02-27
1366763567 Samuel G Hawk General Practice 1345 S Beretania St Ste 101, Honolulu, HI 96814-1802 2010-06-22
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Competitor

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City HONOLULU
Zip Code 96814

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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