Provider Demographics
NPI:1821350174
Name:MWC CARDIOVASCULAR CONSULTANTS, INC
Entity Type:Organization
Organization Name:MWC CARDIOVASCULAR CONSULTANTS, INC
Other - Org Name:MICHAEL W. CHAN, MD, INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:W
Authorized Official - Last Name:CHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-486-6200
Mailing Address - Street 1:4563 KOLOHALA ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-4953
Mailing Address - Country:US
Mailing Address - Phone:808-486-6200
Mailing Address - Fax:808-486-3736
Practice Address - Street 1:98-1079 MOANALUA RD
Practice Address - Street 2:SUITE 655
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-4713
Practice Address - Country:US
Practice Address - Phone:808-486-6200
Practice Address - Fax:808-486-3736
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-12
Last Update Date:2013-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-8690207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty