| Dr Owen Chan, MD, PHD | |
|
98-1079 Moanalua Rd, Laboratory, Pali Momi Medical Center, Aiea, HI 96701-4713 | |
| (808) 485-4243 | |
| (808) 485-4381 |
| Full Name | Dr Owen Chan |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 22 Years |
| Location | 98-1079 Moanalua Rd, Aiea, Hawaii |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629309620 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | MD-15486 (Hawaii) | Primary |
| 207ZH0000X | Pathology - Hematology | MD-15486 (Hawaii) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Pali Momi Medical Center | Aiea, HI | Hospital |
| Straub Clinic And Hospital | Honolulu, HI | Hospital |
| Hilo Medical Center | Hilo, HI | Hospital |
| Maui Memorial Medical Center | Wailuku, HI | Hospital |
| Wilcox Memorial Hospital | Lihue, HI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pan Pacific Pathologists Llc | 0941190474 | 19 |
| Entity Name | Pan Pacific Pathologists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962479360 PECOS PAC ID: 0941190474 Enrollment ID: O20040318000547 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Owen Chan, MD, PHD 98-1079 Moanalua Rd, Laboratory, Pali Momi Medical Center, Aiea, HI 96701-4713 Ph: () - | Dr Owen Chan, MD, PHD 98-1079 Moanalua Rd, Laboratory, Pali Momi Medical Center, Aiea, HI 96701-4713 Ph: (808) 485-4243 |
Dr. Charles Mark Pitts, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 98-1079 Moanalua Rd, Laboratory, Aiea, HI 96701 Phone: 808-485-4517 Fax: 808-485-4381 |