Individual
DR. JOHN K. TIMTIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6700 KALANIANAOLE HWY STE 111, HONOLULU, HI 96825-1278
(808) 432-3700
Mailing address
6700 KALANIANAOLE HWY STE 111, HONOLULU, HI 96825-1278
(808) 432-3700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD-5752
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000062638
HMSA BILLING NUMBER
HI
05
—
054284-02
—
HI
Enumeration date
09/29/2006
Last updated
06/02/2021
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