Individual
TIMOTHY OLDFATHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD3343
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03925801
—
HI
01
—
C43079
HMSA PROVIDER NUMBER
HI
Enumeration date
07/19/2005
Last updated
07/13/2026
Update your record
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