Individual provider · NPI-1

Dr. Andrew Chang, MD

Family Medicine · Hilo, HI

NPI number1083242192
StatusActive
Last updated in NPPESMay 1, 2024

Details

NPI
1083242192
Entity type
Individual (NPI-1)
Name
Dr. Andrew Chang
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 1, 2020
Certification date
May 1, 2024
Last updated
May 1, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineA190915CAYes

Practice location

1190 Waianuenue Ave
Hilo, HI 96720-2089

Phone 808-932-4215

Mailing address

1190 Waianuenue Ave
Hilo, HI 96720-2089

Phone 808-932-4215

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