Provider Demographics
NPI:1033524004
Name:AHMADINIA, HAMED (MD)
Entity type:Individual
Prefix:
First Name:HAMED
Middle Name:
Last Name:AHMADINIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2180 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WAILUKU
Mailing Address - State:HI
Mailing Address - Zip Code:96793-1625
Mailing Address - Country:US
Mailing Address - Phone:808-932-3186
Mailing Address - Fax:
Practice Address - Street 1:5095 NAPILIHAU ST
Practice Address - Street 2:
Practice Address - City:LAHAINA
Practice Address - State:HI
Practice Address - Zip Code:96761-8800
Practice Address - Country:US
Practice Address - Phone:808-242-6464
Practice Address - Fax:808-984-7446
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-27
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMDR6671207Q00000X
HIMD-24650207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine