Provider Demographics
NPI:1700490414
Name:RHEUMATOLOGY ASSOCIATES OF MAUI, LLC
Entity Type:Organization
Organization Name:RHEUMATOLOGY ASSOCIATES OF MAUI, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:BETHANY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:DILLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-283-3223
Mailing Address - Street 1:161 WAILEA IKE PL STE A104
Mailing Address - Street 2:
Mailing Address - City:KIHEI
Mailing Address - State:HI
Mailing Address - Zip Code:96753-6502
Mailing Address - Country:US
Mailing Address - Phone:808-757-6106
Mailing Address - Fax:866-397-2741
Practice Address - Street 1:161 WAILEA IKE PL STE A104
Practice Address - Street 2:
Practice Address - City:KIHEI
Practice Address - State:HI
Practice Address - Zip Code:96753-6502
Practice Address - Country:US
Practice Address - Phone:808-757-6106
Practice Address - Fax:866-397-2741
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-01
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Multi-Specialty