Provider Demographics
NPI:1093957425
Name:LEONG, NICOLE AKEMI HIGA (MD)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:AKEMI HIGA
Last Name:LEONG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NICOLE
Other - Middle Name:AKEMI
Other - Last Name:HIGA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:98-151 PALI MOMI ST.
Mailing Address - Street 2:SUITE 142
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701
Mailing Address - Country:US
Mailing Address - Phone:808-483-6400
Mailing Address - Fax:808-483-6487
Practice Address - Street 1:98-151 PALI MOMI ST.
Practice Address - Street 2:SUITE 142
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701
Practice Address - Country:US
Practice Address - Phone:808-483-6400
Practice Address - Fax:206-583-2307
Is Sole Proprietor?:No
Enumeration Date:2009-03-31
Last Update Date:2016-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD16502207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine