MEDICARE: DR. DONNA CHING M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	2017015571	MO
2	174400000X	Specialist	MD10253	HI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1780636670
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DONNA CHING M.D.

Provider Business Mailing Address
First Line	:	73 PUUHONU PL
Second Line	:	SUITE 200
City	:	HILO
State	:	HI
Zip	:	96720-2060
Country	:	US
Telephone Number	:	808-969-7922
Fax Number	:	808-934-2037

Provider Business Practice Location Address
First Line	:	73 PUUHONU PL
Second Line	:	SUITE 200
City	:	HILO
State	:	HI
Zip	:	96720-2060
Country	:	US
Telephone Number	:	808-969-7922
Fax Number	:	808-934-2037

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	11/18/2019

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Directions to “ DR. DONNA CHING M.D.” Practice Location

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