Individual
SHELBI CHING JIM ON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3221 WAIALAE AVE STE 382, HONOLULU, HI 96816-5845
(808) 940-0961
(808) 201-4951
Mailing address
3221 WAIALAE AVE STE 382, HONOLULU, HI 96816-5845
(808) 940-0961
(808) 201-4951
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
265484
NY
207N00000X
Dermatology Physician
Primary
MD-20868
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04683730
—
NY
01
—
MD-20868
LICENSE
HI
Enumeration date
03/21/2011
Last updated
07/06/2024
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