Individual
DR. ROBERT T. MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3-3420 KUHIO HWY, SUITE B, LIHUE, HI 96766-1098
(808) 245-1500
(808) 246-1364
Mailing address
3-3420 KUHIO HWY., SUITE B, LIHUE, HI 96766-1098
(808) 245-1500
(808) 246-1364
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD-10667
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000256610
HMSA
HI
01
—
285356
UHA
HI
05
—
575350 01
—
HI
Enumeration date
11/08/2006
Last updated
08/04/2011
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