Healthcare Provider Details

I. General information

NPI: 1962493049
Provider Name (Legal Business Name): SHIUH-FENG CHENG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/28/2005
Last Update Date: 06/03/2024
Certification Date: 06/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2228 LILIHA ST STE 200
HONOLULU HI
96817-1652
US

IV. Provider business mailing address

2228 LILIHA ST STE 200
HONOLULU HI
96817-1652
US

V. Phone/Fax

Practice location:
  • Phone: 808-533-3130
  • Fax: 808-533-3140
Mailing address:
  • Phone: 808-533-3130
  • Fax: 808-533-3140

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number11337
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: