Provider Demographics
NPI:1598879959
Name:CHUN, CRAIG B (MD)
Entity Type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:B
Last Name:CHUN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 161024
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-0923
Mailing Address - Country:US
Mailing Address - Phone:866-726-6441
Mailing Address - Fax:310-329-0176
Practice Address - Street 1:3849 OLD PALI RD
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-1070
Practice Address - Country:US
Practice Address - Phone:808-780-4536
Practice Address - Fax:808-595-4505
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-19
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
HIMD-9224207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIH0000BDXSJMedicare PIN