Individual
DR. INSAF ALLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2180 MAIN ST, WAILUKU, HI 96793-1625
(808) 242-6464
Mailing address
2180 MAIN ST, WAILUKU, HI 96793-1625
(808) 242-6464
(808) 243-2363
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
052542
CT
207R00000X
Internal Medicine Physician
M-1868
GU
207R00000X
Internal Medicine Physician
Primary
MD-20897
HI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008049176
—
CT
01
—
010052542CT01
ANTHEM NEW LONDON
CT
01
—
010052542CT02
ANTHEM - NORWICH
CT
01
—
52542
CONNECTICARE
CT
01
—
H107476
PTAN
GU
Enumeration date
10/27/2012
Last updated
04/24/2026
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