Edith Pang Md Llc | |
1380 Lusitana St Suite 404 Honolulu HI 96813-2449 | |
(808) 690-9888 | |
(808) 690-9821 |
Full Name | Edith Pang Md Llc |
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Speciality | Internal Medicine |
Location | 1380 Lusitana St, Honolulu, Hawaii |
Authorized Official Name and Position | Edith L Pang (OWNER) |
Authorized Official Contact | 8086909888 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Edith Pang Md Llc 1380 Lusitana St Suite 404 Honolulu HI 96813-2449 Ph: (808) 690-9888 | Edith Pang Md Llc 1380 Lusitana St Suite 404 Honolulu HI 96813-2449 Ph: (808) 690-9888 |
NPI Number | 1174073803 |
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Provider Enumeration Date | 10/05/2016 |
Last Update Date | 10/05/2016 |
Medicare PECOS PAC ID | 1153602883 |
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Medicare Enrollment ID | O20170111001636 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174073803 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD7381 (Hawaii) | Primary |
Provider Name | Edith L Pang |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1154484376 PECOS PAC ID: 5890686604 Enrollment ID: I20090409000308 |
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