Individual
DR. TIMOTHY C JAHRAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
134 PUUHONU WAY, HILO, HI 96720-2067
(808) 935-1956
(808) 935-7657
Mailing address
497 KAMAHAO WAY, HILO, HI 96720-1570
(808) 937-5171
(808) 935-7657
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD 6551
HI
207RG0100X
Gastroenterology Physician
Primary
6551
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C005927-3
QUEST HMSA
HI
05
—
05186401
—
HI
01
—
100003154
RAIL ROAD MEDICARE
HI
01
—
198057
HMA
HI
01
—
C5927-3
HMSA
HI
Enumeration date
10/24/2006
Last updated
03/05/2024
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