Provider Demographics
NPI:1437327731
Name:VALERIE M WANG MD INC
Entity Type:Organization
Organization Name:VALERIE M WANG MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:WANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-941-9600
Mailing Address - Street 1:1319 PUNAHOU STREET
Mailing Address - Street 2:SUITE #610
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96826-1044
Mailing Address - Country:US
Mailing Address - Phone:808-941-9600
Mailing Address - Fax:808-941-2211
Practice Address - Street 1:1319 PUNAHOU STREET
Practice Address - Street 2:SUITE #610
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96826-1044
Practice Address - Country:US
Practice Address - Phone:808-941-9600
Practice Address - Fax:808-941-2211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-20
Last Update Date:2008-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD10283207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
H19153Medicare UPIN