Provider Demographics
NPI:1497516512
Name:CHIA S. GRANDA MD, LLC
Entity Type:Organization
Organization Name:CHIA S. GRANDA MD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHIA
Authorized Official - Middle Name:SONIA
Authorized Official - Last Name:GRANDA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-386-4860
Mailing Address - Street 1:4-1461 KUHIO HWY
Mailing Address - Street 2:
Mailing Address - City:KAPAA
Mailing Address - State:HI
Mailing Address - Zip Code:96746-1715
Mailing Address - Country:US
Mailing Address - Phone:808-386-4860
Mailing Address - Fax:
Practice Address - Street 1:4-1461 KUHIO HWY
Practice Address - Street 2:
Practice Address - City:KAPAA
Practice Address - State:HI
Practice Address - Zip Code:96746-1715
Practice Address - Country:US
Practice Address - Phone:808-386-4860
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-16
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty