Individual provider · NPI-1

Christine Chan

Family Medicine · Hilo, HI

NPI number1437506896
StatusActive
Last updated in NPPESMay 20, 2025

Details

NPI
1437506896
Entity type
Individual (NPI-1)
Name
Christine Chan
Sex
Female
Sole proprietor
No
Enumeration date
May 16, 2016
Certification date
May 20, 2025
Last updated
May 20, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineR75511AZYes
207Q00000X Family MedicineMD-20580HI

Practice location

1190 Waianuenue Ave
Hilo, HI 96720-2089

Phone 808-932-3186

Mailing address

1190 Waianuenue Ave
Hilo, HI 96720-2089

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