Healthcare Provider Details

I. General information

NPI: 1699304204
Provider Name (Legal Business Name): NIA ROBINSON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2020
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4643 WAIMEA CANYON DRIVE STE. B
WAIMEA HI
96796
US

IV. Provider business mailing address

4643 WAIMEA CANYON DRIVE STE. B
WAIMEA HI
96796
US

V. Phone/Fax

Practice location:
  • Phone: 808-338-8311
  • Fax:
Mailing address:
  • Phone: 808-338-8311
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberMD-26751
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: