Healthcare Provider Details

I. General information

NPI: 1891866240
Provider Name (Legal Business Name): CHAO H CHEN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/09/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 S BERETANIA ST SUITE 503
HONOLULU HI
96813
US

IV. Provider business mailing address

550 S BERETANIA ST SUITE 503
HONOLULU HI
96813
US

V. Phone/Fax

Practice location:
  • Phone: 808-542-3445
  • Fax: 808-988-3352
Mailing address:
  • Phone: 808-542-3445
  • Fax: 808-988-3352

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number02705
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: