Nadezna Lyn P. Ang, MD
Individual provider Active NPI Internal Medicine Physician · Hilo, HI
NPI 1902979883 · NPPES record last updated Oct 10, 2007
Key facts
- NPI
- 1902979883
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- MD-11379 (HI)
- Practice address
- 1292 Waianuenue Ave
Hilo, HI 96720-1228 - Phone
- (808) 934-4000
- NPI assigned
- Nov 16, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-11379 | HI | MD | Pediatrics Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD-11379 | HI | Yes |
| Pediatrics Physician | 208000000X | MD-11379 | HI |
Addresses
Primary practice location
1292 Waianuenue Ave
Hilo, HI 96720-1228
Mailing address
1292 Waianuenue Ave
Hilo, HI 96720-1228
Phone (808) 934-4000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000229690 | Other | HI | HMSA BILLING NUMBER |
| 504888-01 | Medicaid | HI |
Other names
- Nalyn P. Ang
Other providers in Hilo, HI
- Sarah W Anderson
- Tricia Lynn Macayan Anderson
- Ula Raine Anderson
- Grace Cristobal Andres
- Andrew Y Maeda OD a Professional Corporation
- Mercedes Angel Renteria
- Vita Angelov
- Jennifer Anlauf
- Karilu Annes
- Brandon Aoki
All providers in Hilo, HI · Internal Medicine Physician in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.