Dr Min Chai Kenneth Pak, MD | |
91-2141 Fort Weaver Rd, Ewa Beach, HI 96706-1993 | |
(626) 564-8457 | |
Not Available |
Full Name | Dr Min Chai Kenneth Pak |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 91-2141 Fort Weaver Rd, Ewa Beach, Hawaii |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598718108 | NPI | - | NPPES |
57034203 | Medicaid | HI |
Taxonomy | Type | License (State) | Status |
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207P00000X | Emergency Medicine | MD-13241 (Hawaii) | Primary |
Entity Name | Salem Emergency Physicians Service, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063454395 PECOS PAC ID: 8628061124 Enrollment ID: O20040408000014 |
Mailing Address | Practice Location Address |
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Dr Min Chai Kenneth Pak, MD 200 Corporate Blvd, Suite 201, Lafayette, LA 70508-3870 Ph: (800) 893-9698 | Dr Min Chai Kenneth Pak, MD 91-2141 Fort Weaver Rd, Ewa Beach, HI 96706-1993 Ph: (626) 564-8457 |
Dr. Valorie Ammann, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 91-2141 Fort Weaver Rd, Ewa Beach, HI 96706 Phone: 808-734-7869 | |
Carl F Hodel, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 91-2135 Fort Weaver Rd, Suite 170, Ewa Beach, HI 96706 Phone: 808-676-5331 Fax: 808-671-2931 | |
Ignasia Tanone, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 91-2141 Fort Weaver Rd, Ewa Beach, HI 96706 Phone: 808-691-3911 | |
Dr. Chi Nga Chan, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 91-2141 Fort Weaver Rd, Ewa Beach, HI 96706 Phone: 808-691-3000 |