Provider Demographics
NPI:1689743387
Name:WU, DANIEL W (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:W
Last Name:WU
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:98-151 PALI MOMI ST
Mailing Address - Street 2:SUITE 142
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701-4300
Mailing Address - Country:US
Mailing Address - Phone:808-483-6400
Mailing Address - Fax:808-483-6487
Practice Address - Street 1:98-151 PALI MOMI ST
Practice Address - Street 2:SUITE 142
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-4300
Practice Address - Country:US
Practice Address - Phone:808-483-6400
Practice Address - Fax:808-483-6487
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2010-09-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
HIMD-11915207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI3711444OtherUHA
HI0000235150OtherHMSA
HI507981Medicaid
HIH71406Medicare UPIN
HI0000235150OtherHMSA