Healthcare Provider Details
I. General information
NPI: 1760729420
Provider Name (Legal Business Name): MARGARET K.L. CHEUNG, MD., PH.D., INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/14/2013
Last Update Date: 06/20/2022
Certification Date: 06/20/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
321 N KUAKINI ST STE 303
HONOLULU HI
96817-2360
US
IV. Provider business mailing address
321 N KUAKINI ST STE 303
HONOLULU HI
96817-2360
US
V. Phone/Fax
- Phone: 808-521-3535
- Fax:
- Phone: 808-521-3535
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207W00000X |
| Taxonomy | Ophthalmology Physician |
| License Number | MD-8888 |
| License Number State | HI |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MARGARET
K. L.
CHEUNG
Title or Position: OWNER
Credential:
Phone: 808-521-3535