Individual
STEPHEN K. CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
207RI0011X
Interventional Cardiology Physician
Primary
MD-12837
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000248633
HMSA BILLING NUMBER
HI
05
—
555469-01
—
HI
Enumeration date
09/22/2006
Last updated
05/26/2021
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