Provider Demographics
NPI:1144330952
Name:CHILDS, ROBERT K (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:K
Last Name:CHILDS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 240340
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96824-0340
Mailing Address - Country:US
Mailing Address - Phone:808-224-4850
Mailing Address - Fax:808-356-1703
Practice Address - Street 1:850 W HIND DR STE 102
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96821-1845
Practice Address - Country:US
Practice Address - Phone:808-261-1121
Practice Address - Fax:808-762-8392
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2020-06-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
HIMD-3352207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI004575Medicaid
HIA46756Medicare UPIN
HIH0000BDJBRMedicare PIN