Individual
RYAN TIEN-SI CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
98-1079 MOANALUA ROAD, SUITE 555, AIEA, HI 96701-4794
(808) 488-1943
(808) 487-5291
Mailing address
98-1079 MOANALUA ROAD, SUITE 500, AIEA, HI 96701-4794
(808) 488-1943
(808) 487-5291
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
12721
HI
Other
Enumeration date
11/23/2006
Last updated
08/10/2010
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