Individual
DR. JOHN D CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1301 PUNCHBOWL ST, HONOLULU, HI 96813-2402
(808) 521-9551
(808) 536-3008
Mailing address
500 ALA MOANA BLVD, TOWER 4, SUITE 510, HONOLULU, HI 96813-4920
(808) 521-9551
(808) 536-3008
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
MD-7103
HI
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD-7103
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
061632
—
HI
01
—
MD7103-03
MDX HAWAII
HI
01
—
XPY-195379
MEDI-CAL
AR
Enumeration date
05/10/2006
Last updated
02/06/2024
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