| Grant L Y Chen Md | |
|
1301 Punchbowl St Honolulu HI 96813-2402 | |
| (808) 255-6229 | |
| (808) 537-1952 |
| Full Name | Grant L Y Chen Md |
|---|---|
| Speciality | Internal Medicine |
| Location | 1301 Punchbowl St, Honolulu, Hawaii |
| Authorized Official Name and Position | Grant L Y Chen (OWNER/MEMBER) |
| Authorized Official Contact | 8082556229 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grant L Y Chen Md 848 S Beretania St Ste 408 Honolulu HI 96813-2551 Ph: (808) 859-3628 | Grant L Y Chen Md 1301 Punchbowl St Honolulu HI 96813-2402 Ph: (808) 255-6229 |
| NPI Number | 1407145444 |
|---|---|
| Provider Enumeration Date | 03/30/2011 |
| Last Update Date | 09/08/2016 |
| Medicare PECOS PAC ID | 1557546454 |
|---|---|
| Medicare Enrollment ID | O20110419000466 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407145444 | NPI | - | NPPES |
| 1962536946 | Other | HI | TYPE 1 NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 14305 (Hawaii) | Primary |
| Provider Name | Grant L Y Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962536946 PECOS PAC ID: 6002091915 Enrollment ID: I20110419000481 |
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