MEDICARE: DR. CHRISTINA J. WAI 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	208600000X	Surgery Physician	MD442112	PA
2	208600000X	Surgery Physician	052326	CT
3	2086X0206X	Surgical Oncology Physician	052326	CT
4	2086X0206X	Surgical Oncology Physician	MD20241	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

General Provider Information

NPI Number	:	1972720241
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTINA J. WAI MD

Provider Business Mailing Address
First Line	:	677 ALA MOANA BLVD STE 1001
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96813-5408
Country	:	US
Telephone Number	:	408-469-4900
Fax Number	:	808-587-9507

Provider Business Practice Location Address
First Line	:	91-2135 FORT WEAVER RD STE 150
Second Line	:
City	:	EWA BEACH
State	:	HI
Zip	:	96706-1929
Country	:	US
Telephone Number	:	808-691-3177
Fax Number	:	808-691-3195

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

Provider Enumeration Date	:	04/19/2007
Last Update Date	:	04/24/2019

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Directions to “ DR. CHRISTINA J. WAI MD” Practice Location

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