Healthcare Provider Details
I. General information
NPI: 1275221475
Provider Name (Legal Business Name): CHRISTIAN JOHN SALANG CAPIRIG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/26/2023
Last Update Date: 10/25/2023
Certification Date: 04/26/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1356 LUSITANA STREET, 7TH FLOOR UNIVERSITY OF HAWAII INTERNAL MEDICINE RESIDENCY PROGRA
HONOLULU HI
96813
US
IV. Provider business mailing address
1356 LUSITANA STREET, 7TH FLOOR UNIVERSITY OF HAWAII INTERNAL MEDICINE RESIDENCY PROGRA
HONOLULU HI
96813
US
V. Phone/Fax
- Phone: 808-586-2910
- Fax: 808-586-7486
- Phone: 808-586-2910
- Fax: 808-586-7486
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: