Provider Demographics
NPI:1528111044
Name:BECK, HAROLD ARTHUR (MD)
Entity type:Individual
Prefix:
First Name:HAROLD
Middle Name:ARTHUR
Last Name:BECK
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 1:1931 E VINEYARD ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WAILUKU
Mailing Address - State:HI
Mailing Address - Zip Code:96793
Mailing Address - Country:US
Mailing Address - Phone:808-244-0377
Mailing Address - Fax:808-244-0701
Practice Address - Street 1:1931 E VINEYARD ST
Practice Address - Street 2:SUITE 100
Practice Address - City:WAILUKU
Practice Address - State:HI
Practice Address - Zip Code:96793
Practice Address - Country:US
Practice Address - Phone:808-244-0377
Practice Address - Fax:808-244-0701
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG37448207V00000X
HI9252207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
A47093Medicare UPIN
H52242Medicare ID - Type Unspecified