Healthcare Provider Details

I. General information

NPI: 1245594787
Provider Name (Legal Business Name): MAXINE REEDY MILLER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2012
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1441 KAPIOLANI BLVD STE 1488
HONOLULU HI
96814-4471
US

IV. Provider business mailing address

PO BOX 11543
HONOLULU HI
96828-0543
US

V. Phone/Fax

Practice location:
  • Phone: 808-946-7889
  • Fax: 808-946-7880
Mailing address:
  • Phone: 808-677-7727
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberMD-22000
License Number StateHI
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMT202903
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberMD473975
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: