Individual
JONATHAN H. SHUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
94-1480 MOANIANI ST, WAIPAHU, HI 96797-4632
(808) 432-3100
Mailing address
94-1480 MOANIANI ST, WAIPAHU, HI 96797-4632
(808) 432-3100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G74660
CA
207R00000X
Internal Medicine Physician
Primary
MD15170
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G746600
—
CA
Enumeration date
11/01/2006
Last updated
08/21/2009
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