Provider Demographics
NPI:1477544468
Name:CHUN, DAVEN K (MD)
Entity Type:Individual
Prefix:
First Name:DAVEN
Middle Name:K
Last Name:CHUN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:321 N KUAKINI ST
Mailing Address - Street 2:SUITE 514
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-2364
Mailing Address - Country:US
Mailing Address - Phone:808-533-4274
Mailing Address - Fax:808-533-4276
Practice Address - Street 1:321 N KUAKINI ST
Practice Address - Street 2:SUITE 514
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-2364
Practice Address - Country:US
Practice Address - Phone:808-533-4274
Practice Address - Fax:808-533-4276
Is Sole Proprietor?:No
Enumeration Date:2005-10-31
Last Update Date:2020-09-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
HI8321207RS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RS0010XAllopathic & Osteopathic PhysiciansInternal MedicineSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIA0097-4Medicaid
HIHHCHUNMedicare UPIN
HIA0097-4Medicaid