Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MD-17431 | HI |
Y | 2080P0216X | Pediatric Rheumatologist | MD-17431 | HI |
NPI | 1568629145 |
---|---|
Provider Name | Dr. Caroline Y. Chang |
First Address | Honolulu, HI 96814-2118 |
Second Address | Honolulu, HI 96814-2118 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2008 |
Last Update Date | 12/05/2021 |