Provider Demographics
NPI:1891979035
Name:LUDLUM, NOELANI APAU (MD)
Entity type:Individual
Prefix:
First Name:NOELANI
Middle Name:APAU
Last Name:LUDLUM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NOELANI
Other - Middle Name:JAN
Other - Last Name:APAU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:2609 ALA WAI BLVD
Mailing Address - Street 2:1003
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96815-3904
Mailing Address - Country:US
Mailing Address - Phone:808-277-9644
Mailing Address - Fax:808-692-1247
Practice Address - Street 1:2609 ALA WAI BLVD
Practice Address - Street 2:1003
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96815-3980
Practice Address - Country:US
Practice Address - Phone:808-277-9644
Practice Address - Fax:808-692-1247
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-24
Last Update Date:2007-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD - 4700208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI50210501Medicaid
HI50210501Medicaid