| Mankwan Wong, M.d., Llc | |
|
1750 Kalakaua Ave Ste 108 Honolulu HI 96826-3700 | |
| (808) 942-8727 | |
| (808) 946-9849 |
| Full Name | Mankwan Wong, M.d., Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1750 Kalakaua Ave Ste 108, Honolulu, Hawaii |
| Authorized Official Name and Position | Mankwan Thomas Wong (PRESIDENT) |
| Authorized Official Contact | 8089428727 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mankwan Wong, M.d., Llc 1750 Kalakaua Ave Ste 108 Honolulu HI 96826-3700 Ph: (808) 942-8727 | Mankwan Wong, M.d., Llc 1750 Kalakaua Ave Ste 108 Honolulu HI 96826-3700 Ph: (808) 942-8727 |
| NPI Number | 1295811636 |
|---|---|
| Provider Enumeration Date | 10/28/2006 |
| Last Update Date | 03/12/2018 |
| Medicare PECOS PAC ID | 9335332865 |
|---|---|
| Medicare Enrollment ID | O20101018000161 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295811636 | NPI | - | NPPES |
| 50787402 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD11859 (Hawaii) | Primary |
| 332900000X | Non-pharmacy Dispensing Site | 11859 (Hawaii) | Secondary |
| Provider Name | Mankwan T Wong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477741726 PECOS PAC ID: 1557303187 Enrollment ID: I20060117000119 |
Sbk Medical Consulting Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1441 Kapiolani Blvd Ste 606, Honolulu, HI 96814 Phone: 808-951-9931 | |
Emily Diep, M.d., Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 321 N Kuakini St, Suite Number 715, Honolulu, HI 96817 Phone: 808-523-6461 Fax: 808-550-0466 | |
Restoration Health Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 828 18th Ave, Honolulu, HI 96816 Phone: 808-892-7571 | |
Central Medical Clinic Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 321 N. Kuakini St., Suite #201, Honolulu, HI 96817 Phone: 808-523-8611 | |
Frederick Fong Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1380 Lustiana Street, Suite 514, Honolulu, HI 96813 Phone: 808-531-7551 Fax: 808-537-3652 | |
Dr Jin Kim Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2851 E Manoa Rd Ste 1-205, Honolulu, HI 96822 Phone: 808-988-6113 | |
Laki Health Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 Kaiulani Ave Lbby 11, Honolulu, HI 96815 Phone: 808-369-4002 |