Provider Demographics
NPI:1912944315
Name:RHODES, BETH (MD)
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:
Last Name:RHODES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:94-229 WAIPAHU DEPOT ST
Mailing Address - Street 2:#308
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-3031
Mailing Address - Country:US
Mailing Address - Phone:808-533-2224
Mailing Address - Fax:808-524-2227
Practice Address - Street 1:94-229 WAIPAHU DEPOT ST
Practice Address - Street 2:#308
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-3031
Practice Address - Country:US
Practice Address - Phone:808-533-2224
Practice Address - Fax:808-524-2227
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2013-10-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
HI130022085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
H99885Medicare UPIN