Provider Demographics
NPI:1669826400
Name:SAKAMOTO-CHUN, MEGAN HOKULANI (DO, MS)
Entity Type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:HOKULANI
Last Name:SAKAMOTO-CHUN
Suffix:
Gender:F
Credentials:DO, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91-5431 KAPOLEI PKWY STE 1706
Mailing Address - Street 2:
Mailing Address - City:KAPOLEI
Mailing Address - State:HI
Mailing Address - Zip Code:96707-5000
Mailing Address - Country:US
Mailing Address - Phone:808-426-9300
Mailing Address - Fax:808-957-9756
Practice Address - Street 1:91-5431 KAPOLEI PKWY STE 1706
Practice Address - Street 2:
Practice Address - City:KAPOLEI
Practice Address - State:HI
Practice Address - Zip Code:96707-5000
Practice Address - Country:US
Practice Address - Phone:808-426-9300
Practice Address - Fax:808-957-9756
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-18
Last Update Date:2020-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
HIDOS-2004207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program