Provider Demographics
NPI:1588701080
Name:ING, MALCOLM R (MD)
Entity type:Individual
Prefix:
First Name:MALCOLM
Middle Name:R
Last Name:ING
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1330 ALA MOANA BLVD STE 10
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-4262
Mailing Address - Country:US
Mailing Address - Phone:808-955-5951
Mailing Address - Fax:808-941-8646
Practice Address - Street 1:1330 ALA MOANA BLVD STE 10
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-4262
Practice Address - Country:US
Practice Address - Phone:808-955-5951
Practice Address - Fax:808-941-8646
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2021-11-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
HIMD-1599207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI3226-8OtherHMSA
HI028896-01Medicaid
HID36147Medicare UPIN
HI3226-8OtherHMSA