| Mcmd Inc | |
|
1221 Kapiolani Blvd Ste 830 830 Honolulu HI 96814-3515 | |
| (808) 226-9997 | |
| Not Available |
| Full Name | Mcmd Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1221 Kapiolani Blvd Ste 830, Honolulu, Hawaii |
| Authorized Official Name and Position | Michael Chang (PRESIDENT) |
| Authorized Official Contact | 8082269997 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcmd Inc 1022 Prospect St 403a Honolulu HI 96822-3485 Ph: () - | Mcmd Inc 1221 Kapiolani Blvd Ste 830 830 Honolulu HI 96814-3515 Ph: (808) 226-9997 |
| NPI Number | 1922411016 |
|---|---|
| Provider Enumeration Date | 06/05/2014 |
| Last Update Date | 06/05/2014 |
| Medicare PECOS PAC ID | 0244547867 |
|---|---|
| Medicare Enrollment ID | O20150915001870 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922411016 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | MD10845 (Hawaii) | Primary |
| Provider Name | Michael Chang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275666257 PECOS PAC ID: 2769402429 Enrollment ID: I20051128000374 |
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