Provider Demographics
NPI:1205020013
Name:RHINE, AMY (MD)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:RHINE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:98-1079 MOANALUA RD STE 350
Mailing Address - Street 2:
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701-4714
Mailing Address - Country:US
Mailing Address - Phone:808-207-9355
Mailing Address - Fax:808-475-0637
Practice Address - Street 1:98-1079 MOANALUA RD STE 350
Practice Address - Street 2:
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-4714
Practice Address - Country:US
Practice Address - Phone:808-207-9355
Practice Address - Fax:808-475-0637
Is Sole Proprietor?:No
Enumeration Date:2007-09-05
Last Update Date:2025-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-19106207Q00000X
IL036119090207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036119090Medicaid