Provider Demographics
NPI:1679808232
Name:GENE ALTMAN, M.D., INC
Entity type:Organization
Organization Name:GENE ALTMAN, M.D., INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GENE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-263-8207
Mailing Address - Street 1:150 HAMAKUA DR
Mailing Address - Street 2:SUITE 758
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-2825
Mailing Address - Country:US
Mailing Address - Phone:808-263-8207
Mailing Address - Fax:808-263-8207
Practice Address - Street 1:1001 BISHOP ST
Practice Address - Street 2:SUITE 1125
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-3429
Practice Address - Country:US
Practice Address - Phone:808-587-7077
Practice Address - Fax:808-263-8207
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-14
Last Update Date:2009-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIC98707Medicare UPIN