Individual
HANAA AL-KHANSA B NIK RUSHDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
221 MAHALANI ST, WAILUKU, HI 96793-2526
(808) 244-9056
Mailing address
221 MAHALANI ST, WAILUKU, HI 96793-2526
(808) 244-9056
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
59507
MN
207R00000X
Internal Medicine Physician
MD-22856
HI
208000000X
Pediatrics Physician
59507
MN
208000000X
Pediatrics Physician
Primary
MD-22856
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073809216
—
WI
Enumeration date
06/27/2011
Last updated
08/23/2023
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