Individual provider · NPI-1

Zachary J Beavis, MD

Family Medicine · Jbphh, HI

NPI number1801478300
StatusActive
Last updated in NPPESJun 12, 2026

Details

NPI
1801478300
Entity type
Individual (NPI-1)
Name
Zachary J Beavis
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Apr 23, 2021
Certification date
Jun 12, 2026
Last updated
Jun 12, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine34878NEYes

Practice location

480 Central Ave
Jbphh, HI 96860-4908

Phone 888-683-2778

Mailing address

480 Central Ave
Jbphh, HI 96860-4908

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