Provider Demographics
NPI:1073540274
Name:CHEONG, HAUSEN (MD)
Entity Type:Individual
Prefix:DR
First Name:HAUSEN
Middle Name:
Last Name:CHEONG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:918 17TH AVE
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-4106
Mailing Address - Country:US
Mailing Address - Phone:808-988-2188
Mailing Address - Fax:808-455-6113
Practice Address - Street 1:803 KAMEHAMEHA HWY
Practice Address - Street 2:SUITE #412
Practice Address - City:PEARL CITY
Practice Address - State:HI
Practice Address - Zip Code:96782-2680
Practice Address - Country:US
Practice Address - Phone:808-455-9095
Practice Address - Fax:808-455-6113
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-7553207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine