Provider Demographics
NPI:1992751127
Name:BAIROS, ALISTAIR WILLIAM (MD)
Entity type:Individual
Prefix:DR
First Name:ALISTAIR
Middle Name:WILLIAM
Last Name:BAIROS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:64-1035 MAMALAHOA HWY
Mailing Address - Street 2:STE K
Mailing Address - City:KAMUELA
Mailing Address - State:HI
Mailing Address - Zip Code:96743-8440
Mailing Address - Country:US
Mailing Address - Phone:808-960-5412
Mailing Address - Fax:
Practice Address - Street 1:64-1035 MAMALAHOA HWY
Practice Address - Street 2:STE K
Practice Address - City:KAMUELA
Practice Address - State:HI
Practice Address - Zip Code:96743-8440
Practice Address - Country:US
Practice Address - Phone:808-960-5412
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-26
Last Update Date:2017-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI4696208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery