Individual
DR. AGNELA TERESA ISAIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
99-128 AIEA HEIGHTS DR STE 211, AIEA, HI 96701-3972
(808) 488-8441
Mailing address
3779 KUMULANI PL, HONOLULU, HI 96822-1113
(858) 472-9950
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
82912
CA
208000000X
Pediatrics Physician
Primary
MD-23703
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009971875
—
AL
01
—
051524720
BCBS PROVIDER NUMBER
AL
Enumeration date
10/05/2005
Last updated
02/13/2024
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