Individual
DR. JEHDEIAH B LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD,REV, PHD.
Contact information
Practice address
1542 WILHELMINA RISE, HONOLULU, HI 96816-7303
(808) 371-7902
(808) 278-5654
Mailing address
1542 WILHELMINA RISE, HONOLULU, HI 96816-7303
(808) 371-7902
(808) 278-5654
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
3759872
HI
208VP0000X
Pain Medicine Physician
Primary
3759872
HI
Other
Enumeration date
07/11/2019
Last updated
03/07/2023
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