Individual
GREGGORY SCOTT SHUBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
640 ULUKAHIKI ST, KAILUA, HI 96734-4454
(808) 263-5500
Mailing address
407 ULUNIU ST, STE 411, KAILUA, HI 96734-2519
(808) 261-3326
(808) 261-3092
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
16430
HI
207P00000X
Emergency Medicine Physician
A54609
CA
207P00000X
Emergency Medicine Physician
Primary
S1918
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A546090
—
CA
Enumeration date
08/14/2006
Last updated
07/12/2019
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