Provider Demographics
NPI:1134318082
Name:PERCIVAL CHEE, M.D., F.A.C.S., INCORPORATED
Entity Type:Organization
Organization Name:PERCIVAL CHEE, M.D., F.A.C.S., INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PERCIVAL
Authorized Official - Middle Name:HY
Authorized Official - Last Name:CHEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-521-6578
Mailing Address - Street 1:50 S BERETANIA ST
Mailing Address - Street 2:SUITE C116
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-2208
Mailing Address - Country:US
Mailing Address - Phone:808-521-6578
Mailing Address - Fax:808-585-6922
Practice Address - Street 1:50 S BERETANIA ST
Practice Address - Street 2:SUITE C116
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-2208
Practice Address - Country:US
Practice Address - Phone:808-521-6578
Practice Address - Fax:808-585-6922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-16
Last Update Date:2007-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1489207W00000X, 332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI02894001Medicaid
HID36298Medicare UPIN