Healthcare Provider Details

I. General information

NPI: 1932193398
Provider Name (Legal Business Name): MING CHEN MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2005
Last Update Date: 08/28/2025
Certification Date: 08/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 S KUKUI ST C109
HONOLULU HI
96813-2328
US

IV. Provider business mailing address

55 S KUKUI ST C109
HONOLULU HI
96813-2328
US

V. Phone/Fax

Practice location:
  • Phone: 808-531-8874
  • Fax: 808-523-0466
Mailing address:
  • Phone: 808-531-8874
  • Fax: 808-523-0466

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberMD3595
License Number StateHI

VIII. Authorized Official

Name: MING CHEN
Title or Position: PRESIDENT
Credential: MD
Phone: 808-531-8874