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NPI Code Detail

MEDICARE: BRIAN B COMBS PH D

MEDICARE: BRIAN B COMBS PH 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
1103T00000XPsychologistPSY485HI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100E0005941OTHERHIHAWAII MEDICAL SVC ASSN
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1760412175
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAN B COMBS PH D
Provider Business Mailing Address
First Line : 1188 BISHOP ST
Second Line : SUITE 3007
City : HONOLULU
State : HI
Zip : 96814-3312
Country : US
Telephone Number : 808-599-1636
Fax Number : 808-599-8612
Provider Business Practice Location Address
First Line : 226 N KUAKINI ST
Second Line :
City : HONOLULU
State : HI
Zip : 96817-2421
Country : US
Telephone Number : 808-544-3366
Fax Number : 808-566-3859
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2006
Last Update Date : 07/08/2007

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Directions to “ BRIAN B COMBS PH D” Practice Location

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