Provider Demographics
NPI:1073521837
Name:WONG, GRACE KAR-YING (MD)
Entity Type:Individual
Prefix:DR
First Name:GRACE
Middle Name:KAR-YING
Last Name:WONG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:GRACE
Other - Middle Name:KAR-YING
Other - Last Name:OUCHI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1329 LUSITANA ST
Mailing Address - Street 2:709
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-2429
Mailing Address - Country:US
Mailing Address - Phone:808-522-7380
Mailing Address - Fax:808-522-7384
Practice Address - Street 1:1329 LUSITANA ST
Practice Address - Street 2:709
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-2429
Practice Address - Country:US
Practice Address - Phone:808-522-7380
Practice Address - Fax:808-522-7384
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-04
Last Update Date:2008-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-13477207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology