Individual
GARY M CABOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2226 LILIHA ST, SUITE 307, HONOLULU, HI 96817-1600
(808) 531-5823
Mailing address
PO BOX 10813, HONOLULU, HI 96816-0813
(424) 206-1919
(310) 303-7944
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD-4869
HI
208VP0000X
Pain Medicine Physician
MD4869
HI
208VP0014X
Interventional Pain Medicine Physician
MD4869
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004904801
—
HI
01
—
00B0014593
HMSA
HI
Enumeration date
06/30/2006
Last updated
09/24/2009
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