Healthcare Provider Details

I. General information

NPI: 1770593824
Provider Name (Legal Business Name): ARTHUR K WONG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2228 LILIHA ST ROOM 104
HONLOLU HI
96817
US

IV. Provider business mailing address

2228 LILIHA ST #104
HONOLULU HI
96817-1651
US

V. Phone/Fax

Practice location:
  • Phone: 808-531-8011
  • Fax:
Mailing address:
  • Phone: 808-531-8011
  • Fax: 808-531-8012

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number1017
License Number StateHI
# 2
Primary TaxonomyN
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number1017
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: