# ELMER F. BAYSA MD, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619456035
- **Authorized official:** MALIA VALENCIA (OFFICE MANAGER)
- **Authorized official phone:** (808) 689-8315

## Contact information

- **Practice address:** 91-775 PAPIPI RD STE A, EWA BEACH, HI 96706-2466
- **Practice address phone:** (808) 689-8315
- **Practice address fax:** (808) 689-8153
- **Mailing address:** 91-775 PAPIPI RD STE A, EWA BEACH, HI 96706-2466
- **Mailing address phone:** (808) 689-8315
- **Mailing address fax:** (808) 689-8153

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | MD-4889 | HI | Yes |

## Other

- **Enumeration date:** 08/07/2018
- **Last updated:** 08/07/2018
