MEDICARE: HONGWEN WU 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	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	MDR-9219	HI

General Provider Information

NPI Number	:	1740125228
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HONGWEN WU MD

Provider Business Mailing Address
First Line	:	1356 LUSITANA ST FL 5
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96813-2409
Country	:	US
Telephone Number	:	808-586-8213
Fax Number	:

Provider Business Practice Location Address
First Line	:	1356 LUSITANA ST FL 5
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96813-2409
Country	:	US
Telephone Number	:	808-586-8213
Fax Number	:

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

Provider Enumeration Date	:	04/21/2026
Last Update Date	:	04/21/2026

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