Basic Information
Provider Information
NPI: 1548449218
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ABDUL-GHANI
FirstName: AYMAN
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 888 S KING ST
Address2: MAKAI 3RD FLOOR
City: HONOLULU
State: HI
PostalCode: 968133097
CountryCode: US
TelephoneNumber: 8085223068
FaxNumber: 8085224397
Practice Location
Address1: 888 S KING ST
Address2: MAKAI 3RD FLOOR
City: HONOLULU
State: HI
PostalCode: 968133097
CountryCode: US
TelephoneNumber: 8085223068
FaxNumber: 8085224397
Other Information
ProviderEnumerationDate: 10/30/2007
LastUpdateDate: 01/04/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208G00000X10806HIY Allopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery) 

No ID Information.


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