Healthcare Provider Details

I. General information

NPI: 1578652566
Provider Name (Legal Business Name): GERALD HON SUNG CHING M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415 ULUNIU ST STE B
KAILUA HI
96734-2503
US

IV. Provider business mailing address

1760 HANAHANAI PL
HONOLULU HI
96821-1308
US

V. Phone/Fax

Practice location:
  • Phone: 808-262-6551
  • Fax:
Mailing address:
  • Phone: 808-262-6551
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number3312
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: