Provider Demographics
NPI:1851434245
Name:HAGER, GILBERT P (MD)
Entity Type:Individual
Prefix:MR
First Name:GILBERT
Middle Name:P
Last Name:HAGER
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 1:590 FARRINGTON HWY.
Mailing Address - Street 2:#507
Mailing Address - City:KAPOLEI
Mailing Address - State:HI
Mailing Address - Zip Code:96707-2033
Mailing Address - Country:US
Mailing Address - Phone:808-692-6331
Mailing Address - Fax:808-674-9868
Practice Address - Street 1:590 FARRINGTON HWY
Practice Address - Street 2:507
Practice Address - City:KAPOLEI
Practice Address - State:HI
Practice Address - Zip Code:96707-2009
Practice Address - Country:US
Practice Address - Phone:808-692-6331
Practice Address - Fax:808-674-9868
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD 6897208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
E69328Medicare UPIN
HI0000BDZSDMedicare ID - Type Unspecified