Mankwan Wong, M.D., Llc

LBN: Mankwan Wong, M.D., Llc
Mankwan Wong, M.D., Llc is an health care organization with primary practice located at 1750 Kalakaua Ave Ste 108 , Honolulu HI 96826-3700. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Suppliers / Non-Pharmacy Dispensing Site. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Mankwan Wong, M.D., Llc can be contacted via phone (808) 942-8727, or through Wong, Mankwan Thomas via phone (808) 942-8727.

Contact Information

Primary practice address
1750 Kalakaua Ave Ste 108 Honolulu HI 96826-3700
Phone: (808) 942-8727
Fax: (808) 946-9849
Website:
Map and Directions
Authorized official contact:
Name: Wong, Mankwan Thomas Doctor of Medicine (MD)
Phone: (808) 942-8727

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD11859 Hawaii
Suppliers / Non-Pharmacy Dispensing Site 332900000X 11859 Hawaii

Profile Details

NPI number 1295811636
LBN Legal business name Mankwan Wong, M.D., Llc
DBA Doing business as
Authorized official Wong, Mankwan Thomas Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 28th, 2006
Last updated Mar 12th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295811636 NPPES
Hawaii MEDICAID 50787402

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