Individual
GERARD F. LIVAUDAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
39 W KAMEHAMEHA AVE, KAHULUI, HI 96732-2263
(808) 877-2424
Mailing address
171 WALUA PL, KIHEI, HI 96753-7153
(808) 875-9762
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD-11696
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000232033
HMSA BILLING NUMBER
HI
05
—
500844-02
—
HI
Enumeration date
10/23/2006
Last updated
07/09/2012
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