MEDICARE: DR. GREGORY GARY CAPUTY M.D., PHD

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	208200000X	Plastic Surgery Physician	MD8495	HI

General Provider Information

NPI Number	:	1194810689
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GREGORY GARY CAPUTY M.D., PHD

Provider Business Mailing Address
First Line	:	246 PAIKO DR
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96821-2321
Country	:	US
Telephone Number	:	808-394-2425
Fax Number	:

Provider Business Practice Location Address
First Line	:	246 PAIKO DR
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96821-2321
Country	:	US
Telephone Number	:	808-394-2425
Fax Number	:

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

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	11/13/2013

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Directions to “ DR. GREGORY GARY CAPUTY M.D., PHD” Practice Location

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