Grant L Y Chen Md | |
1301 Punchbowl St Honolulu HI 96813-2402 | |
(808) 255-6229 | |
(808) 537-1952 |
Full Name | Grant L Y Chen Md |
---|---|
Speciality | Internal Medicine |
Location | 1301 Punchbowl St, Honolulu, Hawaii |
Authorized Official Name and Position | Grant L Y Chen (OWNER/MEMBER) |
Authorized Official Contact | 8082556229 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Grant L Y Chen Md 848 S Beretania St Ste 408 Honolulu HI 96813-2551 Ph: (808) 859-3628 | Grant L Y Chen Md 1301 Punchbowl St Honolulu HI 96813-2402 Ph: (808) 255-6229 |
NPI Number | 1407145444 |
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Provider Enumeration Date | 03/30/2011 |
Last Update Date | 09/08/2016 |
Medicare PECOS PAC ID | 1557546454 |
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Medicare Enrollment ID | O20110419000466 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407145444 | NPI | - | NPPES |
1962536946 | Other | HI | TYPE 1 NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 14305 (Hawaii) | Primary |
Provider Name | Grant L Y Chen |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1962536946 PECOS PAC ID: 6002091915 Enrollment ID: I20110419000481 |
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