Provider Demographics
NPI:1144499849
Name:AGRIFINA C QUIANE MD INC
Entity type:Organization
Organization Name:AGRIFINA C QUIANE MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AGRIFINA
Authorized Official - Middle Name:C
Authorized Official - Last Name:QUIANE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-678-3575
Mailing Address - Street 1:94-216 FARRINGTON HWY STE 310
Mailing Address - Street 2:
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-1925
Mailing Address - Country:US
Mailing Address - Phone:808-678-3575
Mailing Address - Fax:808-678-3574
Practice Address - Street 1:94-216 FARRINGTON HWY STE B2-109
Practice Address - Street 2:
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-1922
Practice Address - Country:US
Practice Address - Phone:808-678-3575
Practice Address - Fax:808-678-3574
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AGRIFINA C QUIANE MD INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-02-27
Last Update Date:2018-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
H57102Medicare PIN
G65158Medicare UPIN