Provider Demographics
NPI:1144489584
Name:GROTE, JOAN E (MD)
Entity type:Individual
Prefix:MS
First Name:JOAN
Middle Name:E
Last Name:GROTE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:J
Other - Middle Name:EMMA
Other - Last Name:GROTE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:4340 PAHOA AVE APT 17D
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-5024
Mailing Address - Country:US
Mailing Address - Phone:808-392-4430
Mailing Address - Fax:
Practice Address - Street 1:2228 LILIHA ST STE 307
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-1653
Practice Address - Country:US
Practice Address - Phone:808-547-8068
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-02
Last Update Date:2011-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD - 15352207RH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine