Individual
MARK WR CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
40 AULIKE ST, SUITE 412, KAILUA, HI 96734
(808) 262-2424
(808) 263-4882
Mailing address
40 AULIKE ST, SUITE 412, KAILUA, HI 96734
(808) 262-2424
(808) 263-4882
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4560
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01592702
—
HI
01
—
17095
HMSA
HI
01
—
4560
HMSA
HI
Enumeration date
11/09/2006
Last updated
05/20/2012
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