Fan, Fong-Liang

Fan, Fong-Liang is an individual health care provider with primary practice located at 2226 Liliha Street Suite 402, Honolulu HI 96817-1605. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Transplant Surgery. Allopathic & Osteopathic Physicians / Transplant Surgery is his primary health care specialty. Fan, Fong-Liang can be contacted via phone (808) 523-0166.

Contact Information

Primary practice address
2226 Liliha Street Suite 402 Honolulu HI 96817-1605
Fax: (808) 528-4940
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 3280 Hawaii
Allopathic & Osteopathic Physicians / Transplant Surgery 204F00000X 3280 Hawaii

Profile Details

NPI number 1790859718
LBN Legal business name Fan, Fong-Liang
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2006
Last updated Nov 29th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790859718 NPPES
Other 0000BDSFG MEDICARE
Other 193072 MEDICARE
Other 04715601 MEDICARE
Other D36114 MEDICARE
Other 00N0053586 MEDICARE
Other 04715601 MEDICARE
MEDICAID 04715601 MEDICARE
Other D3280 MEDICARE

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