Healthcare Provider Details

I. General information

NPI: 1588964266
Provider Name (Legal Business Name): ROBERT C MARVIT MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2010
Last Update Date: 10/27/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

929 PUEO STREET
HONOLULU HI
96816
US

IV. Provider business mailing address

929 PUEO STREET
HONOLULU HI
96816
US

V. Phone/Fax

Practice location:
  • Phone: 808-737-9301
  • Fax: 808-737-9301
Mailing address:
  • Phone: 808-737-9301
  • Fax: 808-737-9301

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084F0202X
TaxonomyForensic Psychiatry Physician
License Number1532
License Number StateHI

VIII. Authorized Official

Name: DR. ROBERT C MARVIT
Title or Position: CEO
Credential: M.D.
Phone: 808-737-9301