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Individual

MR. BRADLEY A CHUN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3288 MOANALUA RD, HONOLULU, HI 96819-1469
(808) 432-0000
Mailing address
3288 MOANALUA RD, HONOLULU, HI 96819-1469
(808) 432-0000

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD 12893
HI
207R00000X
Internal Medicine Physician
Primary
MD-12893
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000248294
HMSA:BLUE CROSS BLUE SHIE
HI
01
0987142
UHA
HI
01
99-0149797
HMAA
HI
Enumeration date
07/19/2006
Last updated
07/13/2021
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