Provider Demographics
NPI:1083696975
Name:CHIA, NOEL MING (MD)
Entity Type:Individual
Prefix:DR
First Name:NOEL
Middle Name:MING
Last Name:CHIA
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 1:65-1267 KAWAIHAE RD
Mailing Address - Street 2:
Mailing Address - City:KAMUELA
Mailing Address - State:HI
Mailing Address - Zip Code:96743-7345
Mailing Address - Country:US
Mailing Address - Phone:808-881-4745
Mailing Address - Fax:
Practice Address - Street 1:65-1267 KAWAIHAE RD
Practice Address - Street 2:
Practice Address - City:KAMUELA
Practice Address - State:HI
Practice Address - Zip Code:96743-7345
Practice Address - Country:US
Practice Address - Phone:808-881-4745
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-16
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-23517207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA080124609OtherMEDICARE RAILROAD
WA8224693Medicaid
WA7409CHOtherBLUE SHIELD
WA121492OtherLABOR & INDUSTRIES
WAG8897720Medicare PIN
WA080124609OtherMEDICARE RAILROAD
WA121492OtherLABOR & INDUSTRIES