Individual
DR. PON-SANG CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
321 N KUAKINI ST STE 704, HONOLULU, HI 96817-2362
(808) 591-2118
(808) 593-0922
Mailing address
321 N KUAKINI ST STE 704, HONOLULU, HI 96817-2362
(808) 591-2118
(808) 593-0922
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD 4414
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01176901
—
HI
Enumeration date
03/28/2006
Last updated
06/08/2020
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