Provider Demographics
NPI:1992811574
Name:WILLIAMS, FRANK ALLEN (MD)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:ALLEN
Last Name:WILLIAMS
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:PO BOX 26166
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96825-6166
Mailing Address - Country:US
Mailing Address - Phone:808-528-5711
Mailing Address - Fax:
Practice Address - Street 1:157 KIHAPAI ST UNIT A
Practice Address - Street 2:
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-2667
Practice Address - Country:US
Practice Address - Phone:808-499-9979
Practice Address - Fax:844-861-2469
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-23
Last Update Date:2021-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI6998207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI00B0088613OtherHMSA
HI06814401Medicaid
HI0000BDWDLMedicare ID - Type Unspecified
HI06814401Medicaid