Provider Demographics
NPI:1285639104
Name:KHENG, LILIANE L (MD)
Entity Type:Individual
Prefix:
First Name:LILIANE
Middle Name:L
Last Name:KHENG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3-3295 KUHIO HWY
Mailing Address - Street 2:
Mailing Address - City:LIHUE
Mailing Address - State:HI
Mailing Address - Zip Code:96766-1040
Mailing Address - Country:US
Mailing Address - Phone:808-245-8874
Mailing Address - Fax:808-246-9080
Practice Address - Street 1:3-3295 KUHIO HWY
Practice Address - Street 2:
Practice Address - City:LIHUE
Practice Address - State:HI
Practice Address - Zip Code:96766-1040
Practice Address - Country:US
Practice Address - Phone:808-245-8874
Practice Address - Fax:808-246-9080
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2016-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-10419207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI0000224378OtherHMSA BCBS HAWAII
HI25110701Medicaid
HIG90767Medicare UPIN
HI0000224378OtherHMSA BCBS HAWAII