# MANKWAN WONG, M.D., LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295811636
- **Authorized official:** DR. MANKWAN THOMAS WONG M.D. (PRESIDENT)
- **Authorized official phone:** (808) 942-8727

## Contact information

- **Practice address:** 1750 KALAKAUA AVE STE 108, HONOLULU, HI 96826-3700
- **Practice address phone:** (808) 942-8727
- **Practice address fax:** (808) 946-9849
- **Mailing address:** 1750 KALAKAUA AVE STE 108, HONOLULU, HI 96826-3700
- **Mailing address phone:** (808) 942-8727
- **Mailing address fax:** (808) 946-9849

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | MD11859 | HI | Yes |
| 332900000X | Non-Pharmacy Dispensing Site | 11859 | HI | — |

## Other

- **Enumeration date:** 10/28/2006
- **Last updated:** 03/12/2018