Provider Demographics
NPI:1750682829
Name:ROBERT C. MARVIT, M.D.,INC.
Entity Type:Organization
Organization Name:ROBERT C. MARVIT, M.D.,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:MARVIT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-737-9301
Mailing Address - Street 1:929 PUEO ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-5234
Mailing Address - Country:US
Mailing Address - Phone:808-737-9301
Mailing Address - Fax:808-737-9301
Practice Address - Street 1:929 PUEO ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96816-5234
Practice Address - Country:US
Practice Address - Phone:808-737-9301
Practice Address - Fax:808-737-9301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-05
Last Update Date:2014-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1532261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center