| Denis T. C. Chan M.d. Inc | |
|
94-748 B. Hikimoe St. Waipahu HI 96797 | |
| (808) 671-7155 | |
| (808) 671-7155 |
| Full Name | Denis T. C. Chan M.d. Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 94-748 B. Hikimoe St., Waipahu, Hawaii |
| Authorized Official Name and Position | Denis Tsin Chung Chan (PRESIDENT) |
| Authorized Official Contact | 8086717155 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Denis T. C. Chan M.d. Inc 94-748 B. Hikimoe St. Waipahu HI 96797 Ph: (808) 671-7155 | Denis T. C. Chan M.d. Inc 94-748 B. Hikimoe St. Waipahu HI 96797 Ph: (808) 671-7155 |
| NPI Number | 1184063463 |
|---|---|
| Provider Enumeration Date | 06/19/2013 |
| Last Update Date | 06/19/2013 |
| Medicare PECOS PAC ID | 9931340171 |
|---|---|
| Medicare Enrollment ID | O20130730000816 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184063463 | NPI | - | NPPES |
| 000034371 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 2065 (Hawaii) | Primary |
| Provider Name | Denis T.c. Chan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962614768 PECOS PAC ID: 3678508454 Enrollment ID: I20050929001061 |
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