Provider Demographics
NPI:1649471301
Name:GALPIN, PETER ALFRED (MD)
Entity type:Individual
Prefix:DR
First Name:PETER
Middle Name:ALFRED
Last Name:GALPIN
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 1:200 KALEPA PL
Mailing Address - Street 2:SUITE #203
Mailing Address - City:KAHULUI
Mailing Address - State:HI
Mailing Address - Zip Code:96732-2471
Mailing Address - Country:US
Mailing Address - Phone:808-877-7710
Mailing Address - Fax:808-877-7460
Practice Address - Street 1:200 KALEPA PL
Practice Address - Street 2:SUITE #203
Practice Address - City:KAHULUI
Practice Address - State:HI
Practice Address - Zip Code:96732-2471
Practice Address - Country:US
Practice Address - Phone:808-877-7710
Practice Address - Fax:808-877-7460
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-30
Last Update Date:2010-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-8611174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI01020703Medicaid
HI0000BDWBSMedicare ID - Type Unspecified