Healthcare Provider Details

I. General information

NPI: 1205010741
Provider Name (Legal Business Name): CHAO H. CHEN M.D. INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2007
Last Update Date: 12/19/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 S BERETANIA ST STE 503
HONOLULU HI
96813-2496
US

IV. Provider business mailing address

PO BOX 61224
HONOLULU HI
96839-1224
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 Code207VG0400X
TaxonomyGynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. CHAO H CHEN
Title or Position: PRESIDENT
Credential: MD.
Phone: 808-542-3445