MEDICARE: DR. ROBERT K CHILDS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	MD-3352	HI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144330952
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT K CHILDS MD

Provider Business Mailing Address
First Line	:	PO BOX 240340
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96824-0340
Country	:	US
Telephone Number	:	808-224-4850
Fax Number	:	808-356-1703

Provider Business Practice Location Address
First Line	:	850 W HIND DR STE 102
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96821-1845
Country	:	US
Telephone Number	:	808-261-1121
Fax Number	:	808-762-8392

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	06/01/2020

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