Individual
MARK D. SHAIEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3288 MOANALUA RD, HONOLULU, HI 96819-1469
(808) 432-0000
Mailing address
3288 MOANALUA RD, HONOLULU, HI 96819-1469
(808) 432-0000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD-7822
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00E0094200
HMSA BILLING NUMBER
HI
05
—
072456-01
—
HI
Enumeration date
01/25/2007
Last updated
06/09/2021
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