Individual
DR. SHELLEY HAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
169 PUUEO ST, HILO, HI 96720-2432
(808) 934-7355
(808) 935-3209
Mailing address
PO BOX 10840, HILO, HI 96721-5840
(808) 934-7355
(808) 935-3209
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD8985
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002275-02
—
HI
Enumeration date
10/24/2006
Last updated
12/12/2023
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