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
Phone: (808) 523-0166
Fax: (808) 528-4940
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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