MEDICARE: DR. ROBERT ALAN HYMAN M.D.

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	2084P2900X	Pain Medicine (Psychiatry & Neurology) Physician	MD-3009	HI

General Provider Information

NPI Number	:	1225135130
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT ALAN HYMAN M.D.

Provider Business Mailing Address
First Line	:	PO BOX 37747
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96837-0747
Country	:	US
Telephone Number	:	808-738-5601
Fax Number	:	808-536-9187

Provider Business Practice Location Address
First Line	:	1188 BISHOP STREET,
Second Line	:	SUITE 3311
City	:	HONOLULU
State	:	HI
Zip	:	96813
Country	:	US
Telephone Number	:	808-738-5601
Fax Number	:	808-536-9187

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

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	09/11/2009

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