Provider Demographics
NPI:1427125830
Name:LEE, ERNEST K H (MB)
Entity type:Individual
Prefix:DR
First Name:ERNEST
Middle Name:K H
Last Name:LEE
Suffix:
Gender:M
Credentials:MB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1441 KAPIOLANI BLVD
Mailing Address - Street 2:SUITE 610
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-4468
Mailing Address - Country:US
Mailing Address - Phone:808-955-5929
Mailing Address - Fax:808-955-5931
Practice Address - Street 1:1441 KAPIOLANI BLVD
Practice Address - Street 2:SUITE 610
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-4468
Practice Address - Country:US
Practice Address - Phone:808-955-5929
Practice Address - Fax:808-955-5931
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1482207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI03062302Medicaid
00034074OtherHMSA
HI56884Medicare ID - Type Unspecified
HI03062302Medicaid