Provider Demographics
NPI:1144910670
Name:ALI, ABULHASSAN (MD)
Entity type:Individual
Prefix:MR
First Name:ABULHASSAN
Middle Name:
Last Name:ALI
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 1:1356 LUSITANA STREET SUITE 507
Mailing Address - Street 2:UNIV. OF HAWAII/JOHN A. BURNS SCHOOL OF MEDICINE UNIVER
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813
Mailing Address - Country:US
Mailing Address - Phone:808-586-2910
Mailing Address - Fax:808-586-7486
Practice Address - Street 1:1301 PUNCHBOWL ST QUEENS MEDICAL CENTER
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813
Practice Address - Country:US
Practice Address - Phone:808-586-2910
Practice Address - Fax:808-586-7486
Is Sole Proprietor?:No
Enumeration Date:2023-05-09
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program