Provider Demographics
NPI:1487654794
Name:PANG, M PIERRE (MD)
Entity Type:Individual
Prefix:
First Name:M PIERRE
Middle Name:
Last Name:PANG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2228 LILIHA ST
Mailing Address - Street 2:STE 102A
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-1651
Mailing Address - Country:US
Mailing Address - Phone:808-533-7400
Mailing Address - Fax:808-521-7798
Practice Address - Street 1:2055 N KING ST
Practice Address - Street 2:#100
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96819-3479
Practice Address - Country:US
Practice Address - Phone:808-533-7400
Practice Address - Fax:808-521-7798
Is Sole Proprietor?:No
Enumeration Date:2005-07-28
Last Update Date:2021-10-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
HIMD5296207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI02136101Medicaid
HI02136102Medicaid
D15842Medicare UPIN
0000BDMDVMedicare ID - Type Unspecified
HI02136102Medicaid