Individual
DR. ALAN S. W. SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1300 N HOLOPONO ST STE 215, KIHEI, HI 96753-6945
(808) 874-3444
Mailing address
80 MAHALANI ST, WAILUKU, HI 96793-2531
(808) 243-6000
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
MD-5585
HI
207Y00000X
Otolaryngology Physician
MD-5585
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A0024073
HMSA BILLING NUMBER
HI
05
—
021746-02
—
HI
Enumeration date
09/25/2006
Last updated
09/25/2020
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