MEDICARE: DR. DAVID SHU- AN CHOU MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208800000X	Urology Physician	MD12959	HI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MD12959	OTHER	HI	HAWAII LICENSE NUMBER

General Provider Information

NPI Number	:	1073563979
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID SHU- AN CHOU MD

Provider Business Mailing Address
First Line	:	1029 KAPAHULU AVE
Second Line	:	STE 306
City	:	HONOLULU
State	:	HI
Zip	:	96816-1332
Country	:	US
Telephone Number	:	808-218-7857
Fax Number	:	808-218-7859

Provider Business Practice Location Address
First Line	:	1029 KAPAHULU AVE
Second Line	:	SUITE 306
City	:	HONOLULU
State	:	HI
Zip	:	96816-1332
Country	:	US
Telephone Number	:	808-218-7858
Fax Number	:	808-218-7859

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2006
Last Update Date	:	12/15/2015

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Directions to “ DR. DAVID SHU- AN CHOU MD” Practice Location

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