| Edith Pang Md Llc | |
|
1380 Lusitana St Suite 404 Honolulu HI 96813-2449 | |
| (808) 690-9888 | |
| (808) 690-9821 |
| Full Name | Edith Pang Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1380 Lusitana St, Honolulu, Hawaii |
| Authorized Official Name and Position | Edith L Pang (OWNER) |
| Authorized Official Contact | 8086909888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Edith Pang Md Llc 1380 Lusitana St Suite 404 Honolulu HI 96813-2449 Ph: (808) 690-9888 | Edith Pang Md Llc 1380 Lusitana St Suite 404 Honolulu HI 96813-2449 Ph: (808) 690-9888 |
| NPI Number | 1174073803 |
|---|---|
| Provider Enumeration Date | 10/05/2016 |
| Last Update Date | 10/05/2016 |
| Medicare PECOS PAC ID | 1153602883 |
|---|---|
| Medicare Enrollment ID | O20170111001636 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174073803 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD7381 (Hawaii) | Primary |
| Provider Name | Edith L Pang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154484376 PECOS PAC ID: 5890686604 Enrollment ID: I20090409000308 |
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