Provider Demographics
NPI:1386956191
Name:KONIG, GERHARDT (MD)
Entity type:Individual
Prefix:
First Name:GERHARDT
Middle Name:
Last Name:KONIG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 PUU EHU PL
Mailing Address - Street 2:
Mailing Address - City:KAHULUI
Mailing Address - State:HI
Mailing Address - Zip Code:96732-3218
Mailing Address - Country:US
Mailing Address - Phone:412-953-0221
Mailing Address - Fax:
Practice Address - Street 1:33 LONO AVE STE 305
Practice Address - Street 2:
Practice Address - City:KAHULUI
Practice Address - State:HI
Practice Address - Zip Code:96732-1635
Practice Address - Country:US
Practice Address - Phone:808-538-3232
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-09
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD457863207L00000X
HIMD-23039207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology