Provider Demographics
NPI:1508842188
Name:MCWILLIAMS, CHARLENE SCHAMBACH (DO)
Entity Type:Individual
Prefix:DR
First Name:CHARLENE
Middle Name:SCHAMBACH
Last Name:MCWILLIAMS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:MS
Other - First Name:CHARLENE
Other - Middle Name:KAY
Other - Last Name:SCHAMBACH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1329 MOANALUALANI WAY
Mailing Address - Street 2:APT C
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96819-1219
Mailing Address - Country:US
Mailing Address - Phone:808-778-4705
Mailing Address - Fax:
Practice Address - Street 1:1 JARRETT WHITE RD
Practice Address - Street 2:DEPT OF INTERNAL MEDICINE
Practice Address - City:TAMC
Practice Address - State:HI
Practice Address - Zip Code:96859-5001
Practice Address - Country:US
Practice Address - Phone:808-433-5720
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDOS-1073207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine