Individual
DR. SURACHAT CHATKUPT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4643B WAIMEA CANYON DRIVE, WAIMEA, HI 96796
(808) 338-8311
(808) 338-0225
Mailing address
PO BOX 669, WAIMEA, HI 96796-0669
(808) 338-8311
(808) 338-0225
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD-12678
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000244715
HMSA
HI
01
—
17402
UHA
HI
01
—
503716
HMA
HI
01
—
546418
ALOHACARE
HI
05
—
54641801
—
HI
01
—
99-0262194
HMAA
HI
01
—
C55175
KAISER
HI
Enumeration date
07/07/2006
Last updated
03/18/2021
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