Provider Demographics
NPI:1760547749
Name:GERHARD, ANITA LOUISE (MD)
Entity Type:Individual
Prefix:DR
First Name:ANITA
Middle Name:LOUISE
Last Name:GERHARD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:68-1808 PUU NUI ST
Mailing Address - Street 2:
Mailing Address - City:WAIKOLOA
Mailing Address - State:HI
Mailing Address - Zip Code:96738-5230
Mailing Address - Country:US
Mailing Address - Phone:808-883-3718
Mailing Address - Fax:
Practice Address - Street 1:68-1808 PUU NUI ST
Practice Address - Street 2:
Practice Address - City:WAIKOLOA
Practice Address - State:HI
Practice Address - Zip Code:96738-5230
Practice Address - Country:US
Practice Address - Phone:808-883-3718
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI66332084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry