Provider Demographics
NPI:1629028212
Name:HAHN, LIANG-HSIEN ELI (MD PHD)
Entity Type:Individual
Prefix:DR
First Name:LIANG-HSIEN
Middle Name:ELI
Last Name:HAHN
Suffix:
Gender:M
Credentials:MD PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1631 LILIHA STREET
Mailing Address - Street 2:SUITE 2A
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817
Mailing Address - Country:US
Mailing Address - Phone:808-536-1156
Mailing Address - Fax:808-599-7954
Practice Address - Street 1:1631 LILIHA STREET
Practice Address - Street 2:SUITE 2A
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817
Practice Address - Country:US
Practice Address - Phone:808-536-1156
Practice Address - Fax:808-599-7954
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-12
Last Update Date:2012-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD5274207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI0021139OtherHMSA
HI01919401Medicaid
E01193Medicare UPIN
0000BDLQWMedicare ID - Type Unspecified