Provider Demographics
NPI:1194819615
Name:GALBRAITH, GEOFFREY T (MD)
Entity Type:Individual
Prefix:DR
First Name:GEOFFREY
Middle Name:T
Last Name:GALBRAITH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:GEOFF
Other - Middle Name:
Other - Last Name:GALBRAITH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:31 LORANGE PL
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-1984
Mailing Address - Country:US
Mailing Address - Phone:808-744-0158
Mailing Address - Fax:808-744-0158
Practice Address - Street 1:860 IWILEI RD
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-5018
Practice Address - Country:US
Practice Address - Phone:808-778-8035
Practice Address - Fax:808-922-9161
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2013-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-2637207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI025959-01Medicaid
HI0000028985OtherHMSA BILLING NUMBER
HIC97397Medicare UPIN