Provider Demographics
NPI:1609087832
Name:CHING-ENDOW, CHELSEA KWAI FAH YURI (MD)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:KWAI FAH YURI
Last Name:CHING-ENDOW
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CHELSEA
Other - Middle Name:KWAI FAH YURI
Other - Last Name:CHING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1029 KAPAHULU AVENUE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816
Mailing Address - Country:US
Mailing Address - Phone:808-733-5111
Mailing Address - Fax:808-733-5122
Practice Address - Street 1:1029 KAPAHULU AVENUE
Practice Address - Street 2:SUITE 300
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96816
Practice Address - Country:US
Practice Address - Phone:808-733-5111
Practice Address - Fax:808-733-5122
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-28
Last Update Date:2016-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD14571207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine