Provider Demographics
NPI:1073838819
Name:DURKAN, GERALD PATRICK (MD)
Entity Type:Individual
Prefix:DR
First Name:GERALD
Middle Name:PATRICK
Last Name:DURKAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1280 KAUHIKOA RD
Mailing Address - Street 2:
Mailing Address - City:HAIKU
Mailing Address - State:HI
Mailing Address - Zip Code:96708-5830
Mailing Address - Country:US
Mailing Address - Phone:808-283-0757
Mailing Address - Fax:
Practice Address - Street 1:1280 KAUHIKOA RD
Practice Address - Street 2:
Practice Address - City:HAIKU
Practice Address - State:HI
Practice Address - Zip Code:96708-5830
Practice Address - Country:US
Practice Address - Phone:808-283-0757
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-05
Last Update Date:2010-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-7316204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM