Healthcare Provider Details

I. General information

NPI: 1336156520
Provider Name (Legal Business Name): ALAN PAUL GEHRICH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/01/2006
Last Update Date: 04/26/2025
Certification Date: 04/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 JARRETT WHITE RD
TRIPLER ARMY MEDICAL CENTER HI
96859-5001
US

IV. Provider business mailing address

1 JARRETT WHITE RD TRIPLER ARMY MEDICAL CENTER
TAMC HI
96859-5001
US

V. Phone/Fax

Practice location:
  • Phone: 808-433-6621
  • Fax: 808-433-1552
Mailing address:
  • Phone: 808-433-1815
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number0101053599
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code207VF0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
License Number17942
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: