Healthcare Provider Details

I. General information

NPI: 1922326123
Provider Name (Legal Business Name): AARON BIRCH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2010
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date: 06/25/2021
Reactivation Date: 07/15/2021

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 HI
96859-5001
US

V. Phone/Fax

Practice location:
  • Phone: 808-433-5447
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberC173082
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: