Individual
PHILIP W CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
407 ULUNIU ST, 4TH FLOOR, KAILUA, HI 96734-2519
(808) 261-3326
(808) 262-0514
Mailing address
PO BOX 1266, KAILUA, HI 96734-1266
(808) 261-3326
(808) 262-0514
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD13606
HI
207P00000X
Emergency Medicine Physician
Primary
MD2005-0548
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000257964
HMSA
HI
05
—
576978
—
HI
05
—
75920727
—
NM
Enumeration date
08/30/2006
Last updated
10/27/2023
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