Healthcare Provider Details

I. General information

NPI: 1235183708
Provider Name (Legal Business Name): GREGORY H CHOW MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2006
Last Update Date: 03/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

405 N KUAKINI ST SUITE 608
HONOLULU HI
96817-6300
US

IV. Provider business mailing address

405 N KUAKINI ST SUITE 608
HONOLULU HI
96817-6300
US

V. Phone/Fax

Practice location:
  • Phone: 808-528-2814
  • Fax: 808-532-2048
Mailing address:
  • Phone: 808-528-2814
  • Fax: 808-532-2048

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License NumberMD9117
License Number StateHI

VIII. Authorized Official

Name: GREGORY H CHOW
Title or Position: PRESIDENT
Credential: M.D.
Phone: 808-528-2184