Healthcare Provider Details

I. General information

NPI: 1568385193
Provider Name (Legal Business Name): DARYL MATTHEWS MD PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

47-329 MAHAKEA ROAD 47-329
KANEOHE HI
96744
US

IV. Provider business mailing address

47-329 MAHAKEA ROAD 47-329 MAHAKEA ROAD
KANEOHE HI
96744
US

V. Phone/Fax

Practice location:
  • Phone: 808-741-0837
  • Fax: 808-356-0739
Mailing address:
  • Phone: 808-741-0837
  • Fax: 808-356-0739

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD4405
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: