Individual
MARY LINDA PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4489 PAPALINA ROAD, KALAHEO, HI 96741
(808) 332-8523
(808) 332-7050
Mailing address
PO BOX 669, ATTEN: RHONELLE ACERET, WAIMEA, HI 96796-0669
(808) 240-2723
(808) 338-9420
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
990358977
HI
207R00000X
Internal Medicine Physician
Primary
MD-11685
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50008403
—
HI
Enumeration date
06/17/2005
Last updated
08/21/2019
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