| Mankwan Wong, M.D., LLC | |
|
1750 Kalakaua Ave Ste 108 Honolulu HI 96826-3700 | |
| (808) 942-8727 | |
| (808) 946-9849 |
| Full Name | Mankwan Wong, M.D., LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1750 Kalakaua Ave Ste 108, Honolulu, Hawaii |
| Authorized Official Name and Position | Mankwan Thomas Wong (PRESIDENT) |
| Authorized Official Contact | 8089428727 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mankwan Wong, M.D., LLC 1750 Kalakaua Ave Ste 108 Honolulu HI 96826-3700 Ph: (808) 942-8727 | Mankwan Wong, M.D., LLC 1750 Kalakaua Ave Ste 108 Honolulu HI 96826-3700 Ph: (808) 942-8727 |
| NPI Number | 1295811636 |
|---|---|
| Provider Enumeration Date | 10/28/2006 |
| Last Update Date | 03/12/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295811636 | NPI | - | NPPES |
| 50787402 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD11859 (Hawaii) | Primary |
| 332900000X | Non-pharmacy Dispensing Site | 11859 (Hawaii) | Secondary |
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