Provider Demographics
NPI:1790896991
Name:CHIANG, TON M (MD)
Entity Type:Individual
Prefix:DR
First Name:TON
Middle Name:M
Last Name:CHIANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 354
Mailing Address - Street 2:
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701-0354
Mailing Address - Country:US
Mailing Address - Phone:808-484-1169
Mailing Address - Fax:808-484-1168
Practice Address - Street 1:226 N KUAKINI ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-2421
Practice Address - Country:US
Practice Address - Phone:808-566-3766
Practice Address - Fax:808-599-1672
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-3380208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI03933505Medicaid
F01521Medicare UPIN
HI100175Medicare PIN