| Heath H Chung Md Llc | |
|
1329 Lusitana St Honolulu HI 96813-2429 | |
| (808) 531-7111 | |
| (808) 528-5507 |
| Full Name | Heath H Chung Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1329 Lusitana St, Honolulu, Hawaii |
| Authorized Official Name and Position | Heath H Chung (PRESIDENT) |
| Authorized Official Contact | 8082255432 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heath H Chung Md Llc Po Box 37056 Honolulu HI 96837-0056 Ph: (808) 225-0263 | Heath H Chung Md Llc 1329 Lusitana St Honolulu HI 96813-2429 Ph: (808) 531-7111 |
| NPI Number | 1134231095 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 02/05/2014 |
| Medicare PECOS PAC ID | 1951300995 |
|---|---|
| Medicare Enrollment ID | O20061220000362 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134231095 | NPI | - | NPPES |
| 213643000 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 13906 (Hawaii) | Primary |
| Provider Name | Heath H Chung |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1871605782 PECOS PAC ID: 6305845348 Enrollment ID: I20100826000464 |
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