Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD9717 | HI |
N | 111NI0900X | Internist | MD9717 | HI |
Y | 207RC0200X | Critical Care Medicine | MD9717 | HI |
N | 2084N0400X | Neurologist | MD9717 | HI |
NPI | 1023170271 |
---|---|
Provider Name | Cherylee Wj Chang |
First Address | Honolulu, HI 96820-2040 |
Second Address | Honolulu, HI 96813-2402 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/12/2006 |
Last Update Date | 12/10/2015 |